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.�aYl `, .t rl , a 1 r n' . . 1 a n f 1' `• {r 'f r�J r'...'h yY'. - � � , r * 1 , f . f }' i n r . 1' �, � .fir �• , <br />,�• • Y • .l f t'n I.I�CY7.1:/ �Y. f'j '1 .1 I . .1 •t rt . ,^`7 a. 1 { Yj'a'.s h <br />h <br />D. Results of Testing/Servicing <br />Software Version Installed: A0611r11 <br />Complete the following checklist: <br />Yes <br />0 No' <br />Is the audible alarm c <br />Yes <br />❑ No' <br />Is the visual alarm ole <br />Yes <br />❑ No' <br />Were all -sensors .visu <br />Yes <br />❑ No' <br />Were all sensors ins <br />proper operation? <br />❑ Yes <br />0 No' <br />If alarms are relayed t <br />Ig WA <br />Yes <br />❑ No' <br />For pressurized pipin <br />0 WA <br />detects a leak, - fails tn <br />❑ Sump/Trench Sen <br />faflureldisconnecdon',1 <br />Yes <br />❑ No' <br />For tank systems that <br />fl WA <br />valve is Installed), is It <br />of tank.capacitv does I <br />❑ Yes` <br />A6 No <br />Was any monitoring <br />manufacturer name a <br />❑: Yes' <br />_No. <br />_ Was Tiquid.found-insic r <br />Yes, describe causes 1 <br />Yes <br />❑ No' <br />Was monitoring syste:l <br />Yes <br />❑ No` <br />Is all monitoring equipr <br />siiona[? <br />ional? <br />inspected, functionally tested, and confirmed operational? <br />I at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />remote monitoring station, is all communications equipment (e.g. modem) operational? <br />,stems, does the turbine automatically shut down If the piping secondary containment monitoring system <br />:rate, or is electrically disconnected? if yes: which sensors initiate positive shut -down? (Check all that apoly) <br />❑ Dispenser Containment Sensors. Did you confirm positive shutdown due to leaks and sensor <br />{tntze the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />cverfill warning alarm visible and audible at the tank fill point(s) and operating property? if so, at what percent <br />;_[arm trigger? <br />ar ipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the <br />n odel for all replacement parts in Section E, below. <br />ar y.secondary containment systems designed as dry systems? (Checkall that apply) 0 Product; ❑ Water. If <br />Soction E, below. <br />se I -up reviewed to ensure proper settings? Attach setup reports, if applicable <br />.nt operational per manufacturer's specifications? <br />*In Section E below, describe how and win i "nese deficiencies were orwffl be corrected. <br />E. Comments: <br />Monitoring System Certification <br />g•d <br />Page 2 of 4 12107 <br />2 2/21/07 <br />suogoe4uo0 AI a4T13 d00:ZT 61 LZ qa3 <br />