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A Results of Testing/Servicing <br /> Software Version Installed: 3 2 3 <br /> Complete the foliowin cheeldist: <br /> 0 Yes 0 No* Is the audible alarm operational? <br /> U Yes Q No* -is the visual alarm operational? <br /> a Yes U No* ;Were—all sensors visually inspected,functionally tested,and confirmed operational? <br /> U Yes N1 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> 0 t r <br /> not interfere with their proper operation? <br /> interfere <br /> LJ Yes Ll No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> M N/A operational? <br /> 4 Yes 0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> equipment <br /> a <br /> i <br /> t <br /> p <br /> 0 <br /> me <br /> e <br /> n <br /> r <br /> t <br /> equipment <br /> e <br /> u <br /> !thth -g pment will <br /> modem) <br /> I secondary containment g co co <br /> Q 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) M Sump/Trench Sensors; Q Dispenser Cont-aim-nent Sensors. <br /> Did you confirm Positive shut-down due to leaks and sensor failure/disconnection? Wt Yes; U No. <br /> m <br /> U Yes Q No* For tank systems that utilize the monitoring system as the primary tank overfill warning device—0 e. no <br /> Q N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at t .k <br /> 9 the tank <br /> AZA PjPf 4 fil!.point(s)and operating properly? If so,at what percent of tankacity does the alarm trigger9 <br /> cap % <br /> L3 Yes* KI 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* M No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ <br /> . Product, Q Water. If Yes,describe causes in Se,-tion E,below. <br /> ML Yes Ll Was monitorin-system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> 0 Yes all monitoring equipment operational Per manufacturer's specifications? <br /> In Section E below,describ c how and when these deficiencies were or will be corrected. <br /> E. Comments: e ry, 97 0- <br /> + - RET-EMMED BY <br /> Page 2 of 3 03101 <br />