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• • LIVEL: <br /> D.Results of Testing/Servicing <br /> OCT 2 0 ?015 <br /> Software Version Installed: NA <br /> ENVIRONMENTAL <br /> Complete the following checklist: f4Cg1T41 r)PDOQT44CKIT <br /> X❑ yes ❑ No+ Is the and it)]c ala im opera(ioitaP ) <br /> ;j .-=mireaurmwaru <br /> X❑ Ycs ❑ No* Is the sisual alu ni operational? <br /> ❑X Ycs ❑ No" ce all sonsors visually inspected. tun coon ally tested,and confined operational <br /> ayeS ❑ ���* bVere all sensors instal led at lowest point of secondar) containment and positioned so that other equipment <br /> Ircill not interfere with their <br /> propei operation? <br /> ❑j Yes F-1Nn" It ul.0 ms aic ivla\ed to a remote monitorine station. is all communications equipment(c.g.modem) l <br /> X❑ NA opciauonal� <br /> Pur i cssurized piping systems,does the turbine automatically shutdown if the piping secondary <br /> ❑ Yes ❑ No' P p�p� g Y PP g <br /> ©N/A containment monitoring system detects a leak fails to operate,or is electrically disconnected'? Ifyes:which <br /> sensors initiate positive shut-down?(Check all that apply) <br /> '..❑Sump/Trench Sensors; ❑Dispenser Containment Sensors. Didyou confirm positive shut-down <br /> due to leaks and sensor faihve/disconnection'? <br /> >:❑ Yes; ❑No. <br /> ❑X Yes ❑ N o` Por rank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no <br /> mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the <br /> E] N/A <br /> � tank fill point(s)and operating properly?If so,at what percent of tank capacity does the alarm trigger? <br /> 90 oda <br /> ❑Ycs* ❑X No : Was any monitomrg cquipmcnt replaced?If yes.identtfs specific sensors,probes,or other equipment <br /> i replaced and lisI the m_all ufacturer naIne and 116 for all rep Iacement parts in Sect ion_E,below. <br /> ❑Ycs* X❑ No as liquid farad inside any secondary containment ss stems designed as dry systems? (Check all that - <br /> _ 1 apply) ❑Product; ❑Water.If yes,describe causes in Section E, below. <br /> iI ❑X <br /> Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> X❑ Y c s ❑ No- Is all monitoring equipment operational pe manufacturer's speci hcations? <br /> *In Section E belmv,describe Trow and when these deficiencies were or will be corrected <br /> E. Comments: <br /> Other sensors from page one: <br /> Lane 3 Transition Sump LS3A:Certified. <br />