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r.; <br /> 'c,ltware Version Installed: <br /> Complete the folio ing checklist: <br /> 0 Yes ❑ No* Is the audible alarm operational? <br /> 1� ❑' Yes ❑ No* Is the visual alarm operational? <br /> ®"Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> 13 Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that otjeqen <br /> not interfere with their proper operation? <br /> ❑ Yes ❑ No*. If alarms are relayed to a remote monitoring station, is all communications equipm�N/A operational? <br /> © es ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping seco❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes:whicsensors initiate <br /> positive shut-down? (Check all that apply) R-Sw;-n-/Trench Sensors; ❑-E penser Conga' went Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? a-Ves; ❑No. <br /> J Yes ❑ .No* For tank systems that utilize the monitoring system as. the primary tank overfill warning device (i.e. no <br /> 10'Iq/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) O <br /> Product; ❑ Water. If yes,describe causes in Section E,below. <br /> U�Ye-§ ❑ No* Was monitorings stem set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ! Yes ❑ No* Is <br /> all.monitoring equipment oerational 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 />