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f). Results of Testing/Servicingo <br />Software Version Installed: <br />Comnlete the following checklist: <br />Yes <br />0' <br />U No* Is the audible alarm al? <br />Yes <br />IK—Y" <br />U No* Is the visual alarm operational? <br />U No* Were all season visually inspected, functional) tested, and confirmed 2peradonal? <br />Yes <br />U No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipmentwill <br />not interfere with their ppper operation? <br />U Yes <br />U No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />)A N/A operationgd? <br />Yes <br />0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />U N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (cheek an that apply) pi sumparench Sensors; JU Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks W sensor faflure/disconnecdon? ja Yes; U No. — <br />Q Yes <br />U No* For tank systems that utilize the monitoring system as the primary tank ovorM warning device (i.e. no <br />N/A MochanicaI overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating ETMrIX? If so at wbat 2rent of tank !M!Et does the alarm trigger? % <br />ra Yes* <br />-W—N—o Was any monitoring equipment replaced? If yes, identify specific sensor,,, probes, or other equipment replaced <br />and list the manufacturer name and model for all Lelac ement in Section E, below. <br />U Yes*— <br />No Was liquid found inside any secondary containment system desigmed as dry systems? (Check all that apply) Q <br />Product; U Water. If yes, describe causes in Section E, below. <br />—Yes <br />U No* Was monitoring system sot -up reviewed to ensure proper settings? Attach set !T Tports, if !Mlicable <br />YesU <br />No* Is all monitoring equipment operationd per manufacturer's specifications? <br />UPIPTIM71-4111171r,1=4 �1=1��l-;Til=ljnj=;=ntm�r-m7=mmzlta,,=ITZ-1-4r�7#pI <br />E. Comments: <br />Page 2 of 3 0"1 <br />