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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Com lete the followin checklist: <br /> Yes ❑ No* Is the audible alarm o erational? <br /> Yes ❑ Na* Is the visual alarm a erational? <br /> es ❑ No* Were all sensors visualiins ected,function <br /> tested,and confirmed a erational? <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 o eration? p <br /> ❑ Yes Q Na* if alarms are relayed to a remote monitoring station, is all communications equipment (E. modem)operational? g <br /> es ❑ No* For pressurized piping systems, does the turbine automatically shut clown if the Piping secondary containment <br /> L1 N/A monitoring system dctecls a leak, fails <br /> to t operate, or is electrically disconnected? If Yes: which sensors initiate <br /> Positive shut-down? (Check rill that apply) <br /> pl'Y) OML'iapr ❑ DispenserContainmentSensors. <br /> Did on confirm ositive shut-down due to leaks and sensor failure/disconnection? <br /> ------------- <br /> ❑ Yes ❑ No* For tank systems that 111ilize the inonijoring system as the primary tarok overfill warning device (i.e. no <br /> U'7Q7A mechanical overfill prevention valve is Installed}, is tlac overfill warning alarm visible and audible at the tank <br /> til! Dint{s)and o statin ro CFIY'? if SO, at what ercent of tank ca acit does the alarm trigger? <br /> D Yes* C3—ltTo 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 arts in Section E, below. <br /> 13—Yes* ElNo Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br /> Product; El Water. If es,describe causes in Section E,below. PP�'� <br /> Y U No* Was monitorin s stem set ureviewed to ensure proper set tin s?Attach set up reports,if applicable <br /> Yes ❑ No* Is all monitoring equipment - erational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will he corrected. <br /> E. Comments: o ,p <br /> R <br /> V <br /> Page 2 of 3 <br /> 03/01 <br />