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A Restdts of Testing/Servicing <br /> Software Version Installed'. <br /> C )ere the following checklist: <br /> Yes ❑ No' Is the audible alarm iiona]? <br /> I.s the visual alarm -anal? <br /> a:'Ycs O i;o• Were all Sensors visually inspelmd,Inwionally tested,and confirmed o - not? <br /> ec ❑ Nox Were all sensors installed at lowest point of sxoodary contain =I and positioned so tt>at other equipmeat will <br /> not interfere with dwir 'on'! <br /> Queue L3 No" If alarms are relayed no a :smote monitoring stat,,,, is an communications eq olnoent (e.g. modem) <br /> - ❑ NIA operational? <br /> "es <br /> U No* For pressurized piping systems,does the carbine aruomaurally syn down if the piping secondary co nam hent <br /> ❑ NIA Minttaing system detects a leak fails to openar or is eltxtrieallp disco ? If ym which seisms initiate <br /> positive shm-down? (Omck of dw gppW-MSnmptfrcnch Seasors;, j0 r+ r Containment Sensors. <br /> Did you confirm Positive shutdowo due to leaks and sensor failmddifcbnrcchdm- 'es; Q No- <br /> es Q No•" For teak systems YM uu7ize the monimring system as the pnmary rank ovedw naming tlevire (i.e no <br /> Q NIA mechanical overfill prevention valve is installed),is_the_avaffi-warning alarm viable and audcbl the tank <br /> flu t(s)and, ? If so.at what of tank ca ci does the alarm tri er? n % <br /> Cl Yes- Was any momroring equipment replaced? If <br /> Yes,tdeffify speafic scusam probes,du,nbrr«l,iprmbt raplaccd <br /> and list the manufacturer name and model for an rqdacemeox parts in sdxtico H,below. <br /> 13 Yes* -EI-No Was liquid found inside any secondary coarainmem syatnnt dedp d as dry systems? (Check all that apply)Q <br /> Pn,doct; CI Wux - H de;xuV-6e cause in Section,F-below. <br /> to ❑ No' Was mrwimm se-op reviewed to=we ?Attach set u if applicable <br /> ❑ No* I Is all monitoring t auooal Er manufacnner srauocs? <br /> :In Section S below,describe how and when these deficiencies were or will be comete(L <br /> E. Comments.• <br /> Page 2 of 3 Di/61 <br />