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A Results of Testing/Sell"VIC11119 <br /> Software Version Installed: <br /> Complete the foliowin checklist: <br /> En Yes 0 No* Is the audible alarm operational? <br /> C3 Yes Ll No* Is the visual alarm operational? <br /> 8 Yes 0 No* Were all sensors visually inspected,functionally tested, and confirmed operational? <br /> V1 Yes L3 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipmentwill <br /> ---- --not interfere with their proper operation? <br /> U Yes L] No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 12 N/A operational? <br /> 0 Yes U No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> Ll N/A 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) 93 Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? El Yes; U No. <br /> U Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 21 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> V fill point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? _ % <br /> U Yes* 0 No 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 /> U Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) L3 <br /> Product; U Water. If yes,describe causes in Section E,below. <br /> El Yes U No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable H <br /> 0 Yes Ll No* 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 /> E. Comments: <br /> Page 2 of 3 03/01 <br />