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IIi 14/ cUU 1V. JCJ 4U:J400 J4 JJ li iii i LVU- <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the follow ng checklist: <br /> Yes ❑ No* Is the audible alarm o rational? <br /> Yes ❑ No* Is the visual alarm operational? <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 ibat ot�qwp=nt <br /> not interfere with their proper operation? <br /> O Yes 0 No* If alarms are relayed to a remote monitoring station, is all communications equiprnrnt (c.g. modem) <br /> ZIN-/A operational? <br /> ❑ Yes Q No` For pressurized piping systems.does the turbine automatically shut down if the piping secondary contai�uncm <br /> eM­N/A monitoring system detects a leak, fails to operate, or is electrically disconnccted? If yes: which scissors initiate <br /> positive shat-down? (Check rill that apply) 0 SumpMench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks Lnj sensor failure/disconnection? ❑ Yes; O No, <br /> D Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> JZ�—N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> >> �nn )a /� era;:i o r�y1 ? If so,at-what aercent of tank capacity does the alarm trio er? % <br /> fill Vtjtt J and N TJrCJY� _ <br /> ❑ Yes* .0—No Was any monitoring equipment replaced? If yes, identify specific sensors,probes, or other equipment replaced <br /> and list the manufacturer name and model for all replacement pafts in Section E,below. <br /> C3 Yes* LY No Was liquid found inside any secondary containment systems designed as dry systems? (Check all than appl}) Cl <br /> Product; ❑ Water. If yes,describe causes in Section E,below. <br /> Yes C3 No* Was monito 'Rj system set-up reviewed to ensure proper sertin ?Attach set u I p reports, if armlicable <br /> Yes ❑ No* Is all monitorinE a ui meni o trational 2er manufacturer's s ccifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: VO r i► 0 h LS <br /> Page 7 of 3 <br />