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D: Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the fallo ing checklist; <br /> I ❑ No* Is the audible alarm o erational? <br /> ❑ No* Is the visual alarm operational? <br /> s ❑ No* Were all sensors visually inspected,functionally tested, and confirmed operational? <br /> Er Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their ff2jLer operation? <br /> Ll Yes ❑ Na* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> NIA operational? <br /> Yes 0 No* For pressurized 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 discon d? If yes: which sensors initiate <br /> positive shut-dawn? (Check all that apply) GKump/Trench Sensors; ErDispenser Containment Sensors. <br /> Did you confirm 2ositive shut-down due to leaks and sensor failureldisconnection? lam; ❑No. <br /> LZ Yes Q Na* 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 /> fill oint(s)and o ratingm 1 ? If so,at what percent of tank capacity does the alarm trigger? '� % <br /> ❑ Ycs� 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 F,below. <br /> 0 Yes* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)[3 <br /> Product, Q Water. If yes,describe causes in Section E,below. <br /> ❑ No* 1 Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if a livable <br /> Yes ❑ No* I 1s all monitorinj Equipment operational pg manufacturer's specifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/01 <br />