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A Results of Testing/Servicinl, <br /> Software Version Installed: k lol ' 0 <br /> C m tete the follo ing checklist: <br /> es ❑ No* Is the audible alarm operational? <br /> 1,0 es ❑ No* Is the visual alarm operational? <br /> O,yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Yes ❑ 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 /> ❑ N/A monitoring system detects a leak, fails to operat ,or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply)Aump/Trench Sensors; ❑Dispenser coon amment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?.ErYes; ❑No. <br /> ❑ Yes ❑ o* 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 trigger? % <br /> ❑ Yes* 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 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 ❑ X o* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ❑ Yes X No* Is all monitoring equipment oerational 2er manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments:'I K, nese 1 V LLD Pa filed. -6 oMna4C ort l,�n u.��ac.�-e. _r.S <br /> -JDC j 'irCL4iO,,N5 10 dp-iEc°f a lee r J�e� g i w,ula.+ec,� re4 36 PH , Reccgv"\ er� <br /> I1n'CghneC4r rly5jk- rf5 3+q and �t ke umer(ti burr eA <br /> ClV1 LL re 1 <br /> Page 2 of 3 03/01 <br />