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Results of Testing/Servidle <br /> 1 <br /> aftware Version Installed: <br /> Complete the foiloAing checklist: <br /> Y LlNo* Is the audible alarm operational? <br /> ❑ No* Is the visual alarm operational? <br /> Y ❑ No* Were all sensors visually inspected,functionally tested, and confirmed�rationn ? <br /> ❑ Yes L-; iso" i were aii sensors installed at lowest point of secondary containment and positioned so that ether equipment will <br /> not interfere vridt their proper o cration? <br /> ❑ Yes ❑ T If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> LYIN/A operational? - <br /> Ll Yes ❑ >a,*— For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ZrNIA 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) ❑Surnp/Trench Sensors; ❑ Dispen..er Contaituncnt Sensors. <br /> Dad you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes; ❑ No. <br /> ❑ Yes 13 Ne For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 23"N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> "fill point(s)and o rating properly? If so, at what percent of tank ca acity 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* o 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 monitoringsystem set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes C] No* Is all monitoring e uipment 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 /> 4 ^ <br /> Page 2 of 3 03101 <br />