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M <br />D. Results of Testing/Servicing <br />Software Version Installed: (10. Q li <br />Cmmnlete tho fnnnw;no n{.nn4l;cf• <br />Yes <br />❑ No* <br />Is the audible alarm operational? <br />Yes <br />❑ o* <br />Is the visual alarm operational? <br />Yes <br />❑ o* <br />Were all sensors visually ins ted, functionally tested, and confirmed o erational? <br />❑ Yes <br />No* <br />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 <br />❑ Ao* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />V N/A <br />operational? <br />es <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piZseconcontainment <br />❑ N/A <br />monitoring system detects a leak, fails to operate r is electrically disconnect. Insors initiate <br />positive shut -down? (Check all that apply) ump/Trench Sensors; ispenserensors. <br />Did ou confirm ositive shut -down due to leaks and sensor failure/disconnection? <br />® Yes <br />❑ I)la* <br />For tank systems that utilize the monitoring system as the prir64y tank overfill warning device (i.e. no <br />N/ <br />mechanical overfill prevention valve is installed), is the overfill wading alarm visible and audible at the tank <br />fill int(s) and oErating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />❑ Yes* <br />UYNo <br />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* <br />❑ No <br />Was liquid fo d inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br />Product; GMater. If yes, describe causes in Section E, below. <br />❑ No* <br />Was monitoring system set -u2 reviewed to ensure pro2er settings? Attach set up reports, if applicable <br />UKYes <br />❑ No* <br />Is all monitorin i ment operational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. / <br />E. Continents: 96A,'S,'4A S7 -S74-v41 r U OA, <br />. "'�""' J L�"i1 g�d �f L/ L�/ %? i � /'�` //✓�G;G;rt/,t7�vC6 L� J <br />d 2r& 42c%1 ®42Y,-/ t:, A;✓61Z-% c,4/5eL <br />Page 2 of 3 03/01 <br />