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,Its of Testing/Servicing <br /> ,are Version Installed: `t t) <br /> _'ot4ptete the folio in checklist: <br /> Giryes ❑ No* Is the audible alarm-operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> 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 /> Cd�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 opera r is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) l�Sump/Trench Sensors; ❑ Dispenser Conn mment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 'Yes; ❑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 thank <br /> fill oint(s)and o eratin ro erl ? If so,at what percent of tank ca aci does the alarm tri er? <br /> ❑ Yes* Uf 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 arts 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 es, describe causes in Section E, below. <br /> Yes ❑ No* Was monitoringsystem set-upreviewed to ensure proper settings?Attach set u reports, if applicable <br /> Yes ❑ No* Is all monitoringequipment 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 />