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Aug 19 03 10:13p Charity Miles (2091 533-2650 p.2 <br />• <br />Facility: Madsen Page 2 <br />D. Results of Testing/Servicing: <br />N/A Software Version Installed <br />® Yes <br />❑ No* <br />Is the audible alarm o erational? ❑ Deafenin ? Outside Alarm <br />® Yes <br />❑ No* <br />Is the visual alarm operational? <br />❑ Yes <br />❑ No* <br />Is the print function operational? N Not installed. <br />® Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />® Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will 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 />N 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 N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? Ifyes: 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? Cl Yes; ❑ 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 />N N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill Dints and operating ro erl If so, at what percent of tank capacity does the alarm trigger? <br />❑ Yes* <br />N No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br />replaced and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />N No <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 />® Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />N Yes <br />❑ No* <br />is all monitoring a ui mentoperational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: Tested fill spill containment buckets and found all three leaking. <br />