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D. Results of Testing/Servicing 421.00 <br /> Software Version installed-, <br /> Complete the fallowinghecklist: <br /> Yes ❑Nom is the audible alarm operational? <br /> Ig Yes ❑NO* is the visual alarm operational? operational? <br /> No* Were all sensors visually inspected,functionally tested,and confirmed osrtioned so that other <br /> I&Yes ❑ containment and p <br /> ere ail sensors installed at lowest point per pQ a on operational? <br /> ®Yes ❑N o* equipment will not interfere with their prop modern} P <br /> NA are relayed to a remote monitoring station,is all communications equipment(e.9. <br /> tg Yes if alarms Piping secondarycontainment <br /> ❑No does the turbine or is electrically <br /> shut down if the p p 9 <br /> in systems, Dispenser Containment Sensors ❑f <br /> Yes For pressurized piping Y leak fails to operate, or is electrically disconnected? 1f ves:which sensors initiate <br /> ❑ stern detects a ❑Sump�rench Sensors ❑ Yes ❑X10 <br /> ❑No monitoring sY ? Check at)that apptY� <br /> Ig NA positive shut down. ( device(Le,no <br /> you confirm positive shut down due to leaks and sensor faiWr�adk overiiil wa Hing audible at the tank 94 <br /> Did y system as the primary <br /> alarm visible and and <br /> For tank systems that utilize the valve <br /> nstormgat hat percent of tank capacity doe the alarm trigger?. <br /> ®Yes ❑NA mechanical overfill prevention <br /> eaye ilf installed),is the aver-fill warning <br /> ❑No Ii point(s)and operating properly? <br /> p specific sensors, probes,or other equipment replaced <br /> as any monitoring equipment replaced? If yes,Identify P <br /> Yes 19 N4 s designed as dry systems? (Check all that apply) <br /> ❑ list the manufacturer name and model for all replacement parts+n Section E,below. <br /> and li containment systems <br /> Was liquid found in any secondary <br /> es,describe causes in Section E, below. orfs, applicable <br /> Yes ®No [';Product ❑Water ff y ro er settings? Attach set UP <br /> rep <br /> system setup reviewed to ensure p P <br /> ®Yes �No Was monitoring Y ec�ications? <br /> ®Yes ❑No* is all monitoring equipment operational per rrianufacturer'sbe corrected: <br /> * In Section E below,describe how and when these deficiencies were or will <br /> E. Comments: <br /> 3101 <br /> Fuge 2 of 3 <br /> Monitoring System Certirication <br />