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cSollwareversion Installed: Corn lets e following checklist: -- es -❑ No* Is the audible alarm operational? es ❑ No* Js,thev'sual alarm o erational? LIYYes 0,"&0* Were all senors visually ins ected, functionally tested,and confirmed operational? es ❑ NO Were all sensors installed at lowest point of secondary containment and positioned so that other not interfere with their proper operation9 equipment will ❑ Yes ❑ No* alarms are relayed to a remote monitoring station, is all communications equipment . mod /A operational? (e.g em) es ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate Positive shut-down? (Check all that apply) Did ou confirm ositive shut-down due to leaksTrench Sensors;en or failure/disco❑rmelcton?Dispenser Containment Sensors. ❑ Yes ❑ No* -For tank systems that utilize the monitoring system as. the rima No. N/A mechanical overfill prevention valve is installed), is the overfill warning tank overfill and audiblewarning at the tank fill Doint(s)and o eratm, ro erl ? If so,at what percent of tank ca aci does the alarm trigger? ❑ Yes* 1�1Qo Was any monitoring equipment replaced? If yes, identify specific sensors,probes, or other a ui ment re and list the manufacturer name and model for all replacement arts m Section E, below. q p Placed ❑ Yes* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; LJ Water. If yes,describe causes in Section E,below. es ❑ No* Was monitorin s stem set-u reviewed to ensure ro er settin s?Attach set u re orts, if a licable ❑ Yes No* Is all monitoringequipment oerational er manufacturer's specifications? ch * In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: A J7 4v P! C�G'd7YD E Page 2 of 3 03/01