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r , <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Co tete the following checklist: <br /> Yes ❑ 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 /> O'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 o eradon? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ❑r'9/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 operate, or is electrically disconne ted? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) Ga ump/Trench Sensors; ErM spenser Containment Sensors. <br /> Did you confirm Positive shut-down due to leaks and sensor failure/disconne tion? CTI—cs; ❑ No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as -the primary tan. overfill warning device (i.e. no <br /> Er-N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oint(s)and operating properly? If so,at what percent of tank capacity des the alarm trigger? % <br /> ❑ Yes* 9-14o 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 /> O Yes" No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)Cl <br /> Product; ❑ Water. If yes.describe causes in Section E,below. <br /> Yes ❑ No': Was monitoring system set-up reviewed to ensure proper settings?Attach sej up reports, if applicable <br /> Yes ❑ No* Is all monitoring a ui mentoperational per manufacturer's s ccifications? <br /> * In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comtnents: <br /> Page 2 of 3 03/01 <br />