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Software Version Installed: <br /> Com fete the following checklist: <br /> I Lr es I ❑ No* I Is the audible alarm operational? <br /> (d Yes ❑ No* Is the visual alarm operational? <br /> Ef Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed o er 'onal? <br /> Yes ❑ No* 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 ❑ If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> Ld`N/A operational? <br /> Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to operat��aarr is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) I�Sump french Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? �❑No. <br /> ❑ Yes ❑ J)!a� For tank systems that utilize the monitoring system as the primary tank ove�ll warning device (i.e. no <br /> RJrN/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s) and operating properly? If so, at what,percent of tank capacity does the alarm trigger? <br /> ❑ Yes* fd-1qo 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 /> ❑ Yes* o 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 i ❑ No* Was monitoring stem set-up reviewed to ensure proper settings?Attach set tip reports,if a elicable <br /> ❑ No* Is all monitoring equipment oerational per manufacturer's s ecifications? <br /> " In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: -t�Z:U, J!gv ['>✓wr t c, v /0 �t7 P I h rr 1 t c r W a.,f ' <br /> I� 'c ri tm �o r° p 1-� 1 h LO U e 1 u) a syg0,Q ,F n) <br /> A VI � 1 t C"(•9 U i,I 1— 'h� �A 4^r U^I (fA� <br /> Page 2 of 3 0310 <br />