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D. Results of Testing/Servicing <br />Software Version Installed: '7"MC) <br />Complete the following cheekl.lst: <br />125 Yes <br />❑ No* <br />Is the audible alarm operational? <br />N Yes <br />❑ No* <br />Is the visual alarm operational? <br />Yes <br />No* <br />WM all sensors visually ins ected, functionaliX tested, and confirmed operational? <br />Yes <br />Q WOO <br />Wore all Sensors installed at lowest point of condary containment and positioned so that other equipment will <br />not interfere with their ro er operation? <br />Yes <br />❑ No* <br />If alarms are relAy-ed to a remote monitoring station, is all communications equipment (e g. modem) operational <br />N/A <br />9 Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />monitoring system detects a leak,, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (Check all that apply) 9 Surnp/Treneh Sensors; U Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks ar sensor failure/disconnection? Yes; ❑ No. <br />Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e no <br />❑ N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill <br />point(s) and operating ro eri '? If so, at what percent of tank capacity does the alarm trigger"? 6,% <br />❑ 1'es* <br />)0 No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />lkf No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check a// that app/}) 'J <br />Product; ❑ Water. If yes, describe causes in Section E, below. <br />Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />2 Yes <br />❑ No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />% In Section E below, describe how and when these deficiencies were or will be corrected. <br />o _ter <br />• <br />Ai_jq+ <br />' 0 <br />Page 2 of 3 03101 <br />