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19. Results of TestAng/Servicing <br />Software Version Installed: <br />Complete the following checklist: <br />U Yes <br />❑ No* <br />Is the audible alarm operational? <br />® Yes <br />❑ No* <br />the visual alarm operational? <br />21 Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, -1-1d confirmed operational? <br />LO' 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 />❑ o* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />N/A <br />operational? <br />❑, YCS <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 />S` <br />positive shut -down? (Check all that apply) I"Sump/Trench Sensors; C'Dispenserm <br />Coptainent Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ff Yes; ❑ No. <br />❑ .No* <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 />f%� p <br />fillpoint(s) and operating ro erl ? If so, at what percent of tank capacity does the alarm trigger? % <br />LJ Yes* <br />EV 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 parts in Section E, below. <br />❑ Yt°s* <br />LRf 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 />❑ �s <br />❑ No* <br />Was monitorings stem set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />❑ �' : ; <br />❑ No* <br />Is all monitoring equipment oerational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />Page 2 of 3 03101 <br />