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10/08/2011 08:12 2099316743 waterloo Food Mart <br />Nov 04 10 07: 33a E l i t* V ContaotDrs 120946 842 <br />D_ Results of Testing/Servicing <br />Software Varsion Irstalfed: V J ' <br />Complete the followinq checidist: <br />#0720 P.011/015 <br />P,3 <br />rn, No- Is the &ab6 alarm opefational? <br />No'• Is the visual alar openxiotsai? <br />n Nr' WAm sH aan m vio,UgJ inroacK fursetimAA Jor'1ed. and confirmed iet*.V? No' Worn ax aa.�aa..s :i�ellcbl al lvrreaa uuhit ur htS."JLJary ran1Lr1hVllCr It anti rxt-cLua rrxJ:r3 rt rM rafsar arrrp�mPrs arrsr .m msannroDrWet oceratian? <br />] Ne' it Ofarmt rN%-d- a'emote rnetirtOra�statiart:salt communicators aNOF ICI It (e.�..41IR 14) u}rrrrsiW141'? <br />0 WA <br />0 No' For press�rFi2ed tsiping systamg, does the lutiiina autemalicalty SIVA down.if the piping --Wary containrnerJt QMitotingsystem <br />0 N/A dote U leak,'ails;to opgrafe. or s elec�iCapy diseamtst2ca7 U y®s: which serscfsinitiate positive shut -sown? (Ci eck a8Ply apply) <br />Q. i...r.T..,..:..f. Cs... •or -S( b. ... 0.rtd...,wr t IIa. — a:s r.. —A.maiPure/dixorx,ectiar,?� Yes: Q No_ No' For tank systems 1-9 utelize the monitoring SyWtim as the ptmdry tank overm warning device (Le. no meGianiral overtdf prevention <br />!!/,1 NA valve is ins fedl. Is tAe overM wanting alam vi &4 and audible at the tank GH poings) and ripe acing prapef'ly? If <br />SIG, at what perc9nt <br />of tank cepacky does tho alarm! '?mo % . <br />.....- r:.. ........._ ...... w,r•.ys .et.+a —:. At yra, e+errwy 4AA-314L. <.t;tecnZ. MWS. u 0 tt52 the <br />wcf -ir'A rt M of ItmAdusrrCrk; rcu;* Orf SCc:tVurr Cr UL•JUW. <br />es Was lj4uid run Jany secondary ca Mmment systems designed a; ory systefrs? (Check aN that AOA' A 0 Praiue:: We2e _ F <br />es. describe causes in Secdof c I— below_ <br />Yes 0 No- Was rrra arcing system so-uD reviewed ;a ensure pmperserrings? Ansa+ Sai uA rsportg, it applicable <br />Yes U - NW 6- alt fnanitor9r:g equipmeru opmatfana[ per r:tanvfaCDAets speoftcayorn? <br />' In Stiction £ Wow, describe craw and whert thtwe defrciencies w ere or wUl bo corrected. <br />1= Comments; <br />I'MOMk E n ATM <br />N=Iloring $"m Certification <br />Paige 2 0(4 <br />12107 <br />1) ?121/07 <br />