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. i,.,esuits of Testing/Servicing <br /> Sofn�:sre Version lnstailed: <br /> Comoleic the following checklist: <br /> � 1°e; ❑ No* Is the audible alarm operational? <br /> .es ❑ No* Is the visual alarm o erational? <br /> [t* Y1--s ❑ No* Were all sensors visually inspected, fi=tionakl tested, and confirmed operational? <br /> ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> not interfere with their proper operation? <br /> �'t-s PU NO If alarms are relayed to a remote monitoring station, is all conuntrnications equipment (e.g. muciem) <br /> ❑ NIA operational? <br /> U 1'5 ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary coalainnleIq <br /> LZ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? if yes: which sensors irti:i., ti <br /> positive shut-down? (Check till rhtat apply) ❑ Suntp/Trench Sensors; ❑ Dispenser Contasnmenr Sensors. <br /> Did You confii-►n ROSiLive shut-down due to leaks sensor failure/disconnection? ❑ Yes; ❑ No. _ <br /> U 1 es ❑ No* For rank- systerns that utilize the trionitorinc, system as the primary tank overfill warning device (i.e. rto <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the m I l•. <br /> till oint(s) and operating properly? if so, at what percent of tan.lc capacity does the alarm tri ger? <br /> LU `tcs� No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment repl:ICCL! <br /> and Jist the manufacturer name and model for all re lacemenr 2aris in Section E, below. <br /> iV les°^ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all rhar app,),, J <br /> _ Pr•oducr; ❑ Water, If yes, describe causes in Section E, below. _ <br /> Y'cs l7 No* Was monitoring system ser-Lip reviewed to ensure proper settings? Attach set LIP reports, if applicable <br /> _Y ❑ No* is all monitoring equip-mem o erationa3 per n3anufacti'irer's specifications? <br /> lr, Secriun E below, describe how and when these deficiencies were or will be corrected. <br /> L. Comments: <br /> page 2 of 3 0.; 0 1 <br />