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AD. Results -of Testing/Servicing <br />Software Version Installed: <br />* In Section h below, aescrive 11— a -=u ._ •_�_• ----�- - - - <br />E. Comments: <br />s <br />03/01 <br />Page 2 of 3 <br />follow <br />ng checklist: -- <br />Is the audible alarm operational? <br />Is the visual alarm operational? <br />Were visuall ins ected, functionally tested, andconfirmed o erational? <br />No <br />WYes(03 <br />* <br />* <br />11 <br />all sensors <br />installed at lowest point of secondary containment and positioned so that other equipment will <br />* <br />Were all sensors <br />not interfere with their proper er o eration? <br />to a remote monitoring station, is all communications equipment (e -g. modem) <br />❑ Yes <br />❑ No* <br />If alarms are relayed <br />N/A <br />❑ No* <br />operational? <br />For piping systems, does the turbine automatically shut down if the piping secondary containment <br />JS Yes <br />pressurized <br />detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />❑ N/A <br />monitoring system <br />shut -down? (Check all that apply) Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />positive <br />Did confirm positive shut -down due to leaks and sensor failure/disconnection? u Yes; ❑ No_ <br />91 <br />you device (i.e_ no <br />For tank systems that utilize the monitoring system as the primary tartl: overfill warning <br />alarm visible and audible at the tank <br />mechanical overfill prevention valve is installed), is the overfill warning <br />does the alarm trigger? % <br />fill point(s) and o eratin properly? If so, at what percent of tank capacity <br />or other equipment replaced <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, <br />in Section E, below. <br />LYesCl <br />and list the manufacturer name and model for all replacement arts <br />designed dry systems? (Check all that apply) ❑ <br />Was liquid found inside any secondary containment systems as <br />Product; ❑ Water. If es, describe causes in Section E, below. <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set u re orts, if a licable <br />s ecifications? <br />Is all monitoring a ui mento erational per manufacturer's <br />.veli he corrected. <br />* In Section h below, aescrive 11— a -=u ._ •_�_• ----�- - - - <br />E. Comments: <br />s <br />03/01 <br />Page 2 of 3 <br />