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A Results of Testing/Servicing Software Version Installed: Co tete the folio e-in checklist: es ❑ No* Is the audible alarm operational? Eryeg_ ❑_No*_ _1_s the visual alarm operational? :oa _ es ❑ No* Were all sensors visually inspected, functionallytested,and confirmed operational? Q'Yes ❑ No* Were all sensors installed at lowest point of secondary containment and poned so that other equipment will not interfere with their proper operation? ❑ Yes KN/A o* If alarms are relayed to a remote monitoring station, is all commutions equipment (e.g. modem) operational? D'Yes o* For pressurized piping systems, does the turbine automatically shut down e piping secondary containment ❑ N/A monitoring system detects a leak, fails to operateor is electrically disconn ? If yes: which sensors initiate positive shut down? (Check all that apply) Uk�ump/Trench Sensors; ❑ Dnser Con ent Sensors. Did you confirm ositive shut-down due to leaks and sensor failure/disconnn? es; ❑No. ❑ Yes Q Dldr For tank systems that utilize the monitoring system as. the primary taverfill warning device (i.e. no U'IN/A mechanical overfill prevention valve is installed), is the overfill warning avisible and audible at the tank fill point(s)and operating If so,at what percent of tank capacity the alarm tri er? % Yes* o Was any monitoring equipment replaced? If yes, identify specific sensors, es, or other equipment replaced and list the manufacturer name and model for all relacement arts in Sectiobelow.❑ Yes* No Was liquid found inside any secondary containment systems designed as drtems? (Check all that apply) ❑Product; ❑ Water. If es,describe causes in Section E,below. Ery�es ❑ No* Was monitorin s stem set-u reviewed to ensure ro er settin s?Attach sere orfs, if a licable ❑'Yes Q No* Is all monitoring a ui mentoperational per manufacturer's specifications? * In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 3 03101