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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Com lete the following checklist: <br /> Y I ❑ No* Is the audible alarm operational? <br /> ❑t. No* Is the visual alarm operational? <br /> ks <br /> ❑ Na* Were all sensors visually inspected, functionally tested, and confirmed operational? <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 /> �Ll Yes ❑�� �No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> Cd'N/ 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 operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) ❑ Sump/Trench Sensors; ❑Dispenser Containment Sensors_ <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes; ❑No. <br /> ❑ Yes ❑ N * For tank systems that utilize the monitoring system as the primary tank overfill warzung device (i-e. no <br /> NJA 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* No Was any monitoring equipment replaced? If yes, identify specific sensors,probes, or other equipment repiaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* la`o Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appl)) <br /> ❑ Product; ❑Water. If yes, describe causes in Section E,below. <br /> ❑ Yes l3 No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ❑'Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: © r:.l <br /> 3 <br /> z <br />