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Software Version Installed: <br />dmmnlete the fallowinu checklist - <br />16W <br />UrWs—. <br />❑ No* <br />Is the audible alarm operational? <br />Ye <br />❑ No* <br />Is the visual alarm operational? <br />❑ e <br />❑ No* <br />Vie all sensors visual) inspected, functionallytested, and confirmed operational? <br />es <br />L)No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipmen1will <br />not interfere with their proper operation? <br />a Yes <br />13 * <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />N/A <br />operational? <br />ZI Yes <br />❑ N * <br />or pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />/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) ❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes; ❑ No. <br />Yes <br />❑_ N * <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 <br />fill oint(s) and operating ro erl ? If so, at what percent of tank capacity does the alarm trigger? <br />Yes* <br />1^o <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 />o <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br />Product; ❑ Water. If yes, describe causes in Section E, below. <br />es <br />_ No* <br />Was monitoringstem set -u reviewed to ensure proper settings? Attach set u re orts, if applicable <br />Mes <br />❑ No* <br />Is all M22!j2j!gg a ui mentoperational per manufacturer's specifications? <br />1n aCcievn r, ueiuw, uescr®ue uuw anu when mese aeIlciencies were or will De correctea. <br />Comments: <br />Page 2 of 3 03/01 <br />