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Site Address. <br /> Date of Icsting/Servicing; <br /> D. Results of Testing/Servicing DRAFT <br /> Softwwv Version Installed: <br /> Complete the folioxlag checklist: <br /> 14 Yes 1] No* Is the audible alarm operational? <br /> Yes 17 No• Is tha visual alarm operational't <br /> Yes 0 No* Were all sensors visually inspcctcd,l'unctioually tested,and confirmed operational? <br /> Yes © Na'_ Were all sensors installed at lowest point of secondary contaummat and positioned so that other equipment will <br /> tut interfere with their operation? <br /> Yes © Ivo` If alarms are relayed to a remote monitoring station, is ail corrvnunications equipment (e.g. modem) <br /> C] N/A operetioual? <br /> Yea U No' For pressurized piping systems,does the turbine automatically shut down if the piping secondary containruent <br /> Q N/A monitoring system detects a leak, fails to operate,yr is electrically disco ecied't If yes: which sensors In <br /> positive shut-down? ("Check all that appl)) SurnplTrench Scnsots; Dispenser Containment Sensors. <br /> Did you wnfrrru positive shun down due td leaks and iensvr failureldi connection?)w YeS; p 7Io, <br /> r Yes 13 No* For tank sys,cros that utlilze the rtlonitoring system as the primary term overfill yarning device (i.e. no <br /> ❑ KIA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tattle <br /> fill point(s)and operating properly7 If so,at what percent of tank capacity does the alarm trigger? <br /> fl Ye s• No Was any monitoring equipment replaced? If yes, identify specific sensors, probes,or other equipment replaced <br /> and list the tnamdac"turer namt and model for all replacement parts in Section E,below. <br /> C7 Yes* No Was liquid found inside any secondary containMcnt systems designed as dry systcrns? ('Check all rliQr u�plr) <br /> O Product; ❑Water. If ycs,describe causes in Section F,below. <br /> Yes D No* Was monitoring System set-up reviewed to ensure proper settings? <br /> Yes D No* Is all nannitoriug equipment operational per rrtanufacturer's specifrcationsl <br /> "In Section E below,describe how And when these deficiencies were or will be corrected. <br /> E. Comments- <br /> (:ALM-01 Pace 2 ora 11/„ <br />