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RECEIVED <br /> D.Results of Testing/Servicing <br /> Software Version Installed: 121.00 201 <br /> Complete the following checklist ENVIRONMENTAL <br /> F Yes o* Is the audible alarm operational? <br /> Yes No* Is the visual alarm operational? <br /> Yes No* Were all sensors visually inspected, functionally tested and confirmed operational? <br /> _ <, * ..,.. _:..._ _.., . . ... _.._. . _:.W . . .,,: . <br /> F Yes F No Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> will not interfere with their <br /> ro r o ration? <br /> F Yes r No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) 1 <br /> F N/A i operational? I <br /> F Yes r No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary <br /> N/A I <br /> containment monitoring system detects a leak,fails to operate,or is electrically disconnected?Ifyes:which <br /> sensors initiate positive shut-down?(Check all that apply) <br /> F Sump/Trench Sensors; F Dispenser Containment Sensors. Did you confirm positive shut-down <br /> due to leaks and sensor failure/disconnection? <br /> Yes; F N o. <br /> * For tanks <br /> Yes No Am® � A�� s� primary <br /> w� g-M•-� �m_.P.®. ,. <br /> stems that utilize the monitoringstem as the rimar tank overfill wamin device i.e. no <br /> N/A mechanical overfill prevention valve is installed),is the ove�ll waming alarm visible and audible at the <br /> tank fill point(s)and operating properly?If so,at what percent of tank capacity does the alarm trigger? <br /> Yes* 17 No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment <br /> replaced and list the manufacturer name and model for all replacement parts in Section E,below. <br /> F Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that <br /> apply) r Product F Water.If yes describe causes in Section E,below. <br /> Yes No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports if applicable <br /> Yes � ring equipment operational per manufacturer's specifications? <br /> *In Section below,describe how and when these deficiencies were or will be corrected ..... <br /> E. Comments: <br /> An overfill prevention valve is installed in the drop tube. <br />