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D. Results of Testing/Servici10 • <br /> Software Version Installed: �_)._--� :! " " s-, li17_).� +r <br /> Complete the f0flo ing checklist: <br /> ❑ Yes ❑ No* Is the audible alarm operational? <br /> ❑ Yes ❑ No* Is the visual alarm o erational? <br /> ❑ Yes ❑ 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 o enation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ❑ NIA operational? <br /> ❑ Yes ❑ No* Fozp ressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ NIA 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) iJ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failureldisconnection? ❑ Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> ❑ NIA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fillpoint(s)and operating ry erl ? If so,at what percent of tank capacity does the alarm tri er? % <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 /> ❑ Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settin s?Attach set up reports,if applicable <br /> ❑ Yes ❑ No* I Is all monitorin&a ui mento erational Eer manufacturer's s ecifications7 <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments- <br /> Page 2 of 3 03101 <br />