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Sire Address: SS #6100 25775 S. Pattei�un Pass, Tracy Dal., of Testing/Servicing: ZC d 3 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> Ep"Yes ❑ No* Is the audible alarm operational? <br /> es ❑ No* Is the visual alarm operational? <br /> Evl�es ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? <br /> Ev�les ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> ❑ Yes ❑ ,No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A operational? <br /> Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> El N/A monitoring system detects a leak, fails to operate is electrically disconr}ected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) ump/Trench Sensors; Dispenser Co inment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? es; ❑No. <br /> es ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fillpoint(s)and operating ro erl ? If so, at what percent of tank capacity does the alarm trigger? ????% <br /> ❑ Yes* EVS4o Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br /> 1-1 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 /> Y s ❑ No* Was monitoring system set-up reviewed to ensure proper settings'? <br /> es ❑ No* Is all monitoring equipment 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 /> Page 2 of 3 03/01 <br />