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i Facility Name: Quick-n-Save (Page 2) <br /> A Results of Testing/Servicing <br /> i <br /> Software Version Installed : 318.01 <br /> Com tete the following checklist: <br /> ® Yes I ❑ No* I Is the audible alarm o erational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> ® Yes <br /> ❑ No * Is the print function operational? ❑ Not installed. <br /> ® Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed o erational? <br /> ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that otheqmodcm) <br /> will not interfere with their proper operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e <br /> ® N/A operational? <br /> ® Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, Fails to operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) ® Sump/Trench Sensors; ® Dispenser Containment Sensors. <br /> Did vnii confirm positive shut-down due to leaks and sensor failure/disconnection? ® Yes; ❑ No. <br /> ❑ Yes ❑ 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 /> fill point(s) and operating ro erl ? If so at what percent of tank capacity does the alarm tri er? <br /> E] Yes* ® No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br /> re laced and list the manufacturer name and model for all replacement parts in Section E, below. <br /> ❑ Yes* ® No 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 /> ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br /> ® Yes ❑ No* is all monitoring equipment oerational Orman Ufacturer , S specifications? <br /> In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments : <br />