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IEU <br />D. Results of Testing/Servicing 2016 <br />Software Version Installed: 120.00 <br />Eff <br />Complete the following checklist: �? At�xs <br />FX <br />"W­11 <br />❑ No* ;Is the audible alarm operational?�,�_�__. <br />_� ... <br />X Yes <br />a 11 � A7WWA; s.. "a.. �casw.�a c:.p aM,. ,.... <• z ...a ..1za�?... '; ,.,.� L�� �., .�;.;', a:� u� °:x,�a� ., ::, .a a r:;.;ti,ua��, ., .vm" X' ; ,'. 'A"M •r.a "M , <br />QYes ❑ No* ails the visual alarm operational? <br />X Yes � <br />❑ Mere ere all sensors visually inspected functionally tested and confirmed operational? <br />-._...... __... .. <br />seconary c <br />X Yes No* Were all sensors instal led at lowest point of secondary and positioned so that other equipment <br />❑ i 3 will not interfere with their <br />talro er o ration? <br />e;, .,,-,E,,; ��zs,� , .::;.F.,a , '�u••..� �� «.,. z _ < .....• r<as ��..s >: ���ar<M :r:. z„ ,��c a�ca� a � .ate :a� o � a ,.. ,�? <br />❑X Yes€ F-1 No* If alarms are relayed to a remote monitoring station is all communications equipment (e.g. modem) <br />�€ ❑ N/A <br />operational? <br />❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary <br />containment monitoring system detects a leak. failsto operate, or is electrically disconnected`? lfyes: which <br />NN/A `sensors initiate positive shut-down? (Check all that apply) <br />❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. Didyou confirm positive shut-down <br />s 3 <br />`due to leaks and sensor failure/disconnection? <br />❑ Yes, ❑No i? <br />. _. <br />❑Yes l� F-1 No* ° Fo r tank systems that utilize the monitoring sy stem as the primary tank overfill warning dei ice (i.e. no it <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the <br />0 N/A tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? <br />®Yes* 1` No ?Was any monitoring equipment replac,ed`? If yes, identify specific sensors, probes, or other equipment <br />i( _ replaced and Inst the manufacturer name and model for all replacement parts in Section F below. <br />Yes� �..:m_ �•. _ _ _ �: <br />* qns <br />❑ No ;app/y) ❑ Product; <br />inside Water. Ices, describe causes in Section E� below. <br />y systems. (Check all that <br />ct <br />�m....:, �... ..:;;..... <br />... <br />_..... <br />❑X <br />Yes <br />❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports if applicable <br />❑X Y es❑ No* Ills all monitoring equipment operational per manufacturers specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected <br />E. Comments: <br />Other Sensors from Page 1: <br />L3: Vent Sump Sensor - 794380-208 / 515989 - Certified <br />L4: Transition Sump Sensor - 794380-208 / 1076768 - Certified <br />L5: Inside Piping Pan Sensor - 794390-420 / 793173 - Certified <br />An Overfill Prevention Valve is Located in the Drop Tube <br />Replaced TLS backup battery prior to Certification <br />Replaced L4: Transition Sump Sensor Like For Like and Certified <br />