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D. Results of Testing/Servicing <br />Software Version Installed: 12.1 , C>c> <br />Complete the following checklist: <br />0 Yes <br />❑ No* <br />Is the audible alarm operational? <br />Of Yes <br />❑ No* <br />Is the visual alarm operational? 'gr <br />WL Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Vt Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed ,to a remote monitoring station, is all communications equipment (e.g. modem) <br />J& N/A <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/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; ispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? es; ❑ No. <br />❑ Yes <br />❑ .No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />AILN/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating ro erl If so, at what percent of tank capacity does the alarm trigger? <br />Ll Yes* <br />I No <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 arts in Section E, below. <br />LlYes* <br />No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br />Product; ❑ Water. If es, describe causes in Section E, below. <br />Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up re orts, if applicable <br />Yes <br />❑ No* <br />Is all monitoring a ui mentoperational per manufacturer's specifications? <br />* i <br />Ti0...7..__. <br />.l_____._ _ <br />au A6Gaiv77 r., ucevw' Uescr`ue now and when these dericiencies were or will be corrected. <br />E. Comments: <br />11" <br />Page 2 of 3 03/01 <br />