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D. Results of Testi3ng Servicinz <br /> Software Version Installed: <br /> Ca to the followine checklist: <br /> UKY.og 0 No* is the audible alarmoperational? <br /> Y 0 No* Is the visual alarm operational',' <br /> Y 5` ❑ No* Were ail sensors visually" e;ted,fttnctiona�ly tested, nd confirmed operational? <br /> :.. Yes ❑ Na* Were all sensors installed at lowest pout of secondary containment and positioner so that other equipment will <br /> not interfere with their proper operation? <br /> 0 Yes 0 Imo' If alarms are relayed to a remote monitoring station, is all communications equipment (eg. modem) <br /> 13/A operational? <br /> Yes 0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary coma ILament <br /> 0 NIA 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) ❑Sunrp/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failureldisconnection? ❑Yes; ❑No. <br /> Yes 0- No" For tank systems that utilize the monitoring system as the primary tank overfill warning device (ie. no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill int(s) and operating properly? If so,at what percent of tank-capacity does the alarm trigger? I_% <br /> El Yes* No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced i <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> D Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)0 <br /> Product; 0 Water. ff yes,describe causes in Section E,below. <br /> ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set un reports,if applicable <br /> Yes 0 No* Is all monitoring Nuipment operational per mamiiacturer's s cations? <br /> *In Section E below,describe how and when these deficiencies were or wiH be corrected. <br /> E. COMMents: kc-- 3 _u 4 C. F-, A1 .) -'t U vt � �✓t�C <br /> i lamC� G�r'�jj�U� <br /> /2i �tv t,fSZ�/L 1 �'� 5 ��f�.<w Ck <br /> Page 2 of 3 03/01 <br /> f , <br />