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Site Address: SS#6335,4855 South S•Route 99,Stockton Dateof Testing/Servicing: Z S 3 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 1 y <br /> Com tete the following checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> es ❑ No* Is the visual alarm operational? <br /> s ❑ No* 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 /> ❑ Yes ❑ Plo* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A operational? <br /> EF <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 operay4<r is electrically discoanec If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) B Sumparench Sensors; ispenser Contsiment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? es; ❑No. <br /> [jYes ❑ iib* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> QN/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> 11 fill point(s)and operating ro erl ? If so,at what percent of tank capacity does the alarm trigger? ????% <br /> VOYes* 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 re lacement arts in Section E,below. <br /> No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑Product; ❑Water. If es, describe causes in Section E,below. <br /> ❑ No* Was monitorin s stem set-u reviewed to ensure ro er settings? <br /> ❑ No* Is all monitoring a ui mentoperational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: j)1!Q' /3 15' ^�; riTf1E/LS <br /> Page 2 of 3 03/01 <br />