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I R <br />D. Results of Testing/Ser/vicing <br />Software Version Installed: / Q I <br />r-AmnletP the fallawina rhnnlrlict- <br />.Yes <br />No* <br />13ratio <br />Is the audible alarm o nal? <br />Bf-Yes . <br />13 No* <br />Is the visual alarm o gonal? <br />11 No* <br />Were all sensors visuallyins , functionallytested, and confirmed o tional? <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 RM ration? <br />Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />❑ N/A <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />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) _ ump/Trench Sensors;Dispenser Containment Sensors. <br />Did you confirm 22sitive shut -down due to leaks and sensor failure/disconnection? ❑ Yes; ❑ No. <br />❑ Yes <br />No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />d N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill poj2!(sj and 2perating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />Yes* <br />❑ No <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 in Section E, below. <br />❑ Yes* <br />o <br />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 />`®QYes <br />❑ No* <br />Was monitorin s stem set-up reviewed to ensure proer settings? Attach set up reports, if ap2licable <br />Yes <br />❑ No* <br />Is all monitorin ui mento tional per manufacturer's s 'fications? <br />V° in Section E below, describe how and when these deficiencies were or will be corrected. <br />1�I— �R L-.? eta c Lh <br />Page 2 of 3 03,01 <br />