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D. Results of Testing/Servicing <br /> Software Version Installed: jC�—, <br /> copiplete the following checklist: <br /> esIJk*' <br /> Is the audible alarm operational? <br /> esIs the visual alarm operational? <br /> Were all sensors visually inspected, functionally tested, and confirmed operational? <br /> YesWere all sensors installed at Iowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> ❑ YesIf alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> operational? <br /> D'YesFor pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> monitoring system detects a leak, fails to operate is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) Q Sump/Trench Sensors; ❑Dispenser�Conainment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ETYes; Cl No. <br /> ❑ YesFor tank systems that utilize the monitoring system as the primary tank ove�ll warning device (i.e. no <br /> p ❑ N/A mechanical overfill prevention.valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill points)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 replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* No 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 /> es ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable <br /> Cl 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: <br /> 4M 61 <br /> Page 2 of 3 03101 <br />