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11 <br /> D. ResWts of TestingtServiCIP <br /> Software Version Installed: <br /> f <br /> , r <br /> Complete the foliowi ch <br /> Yes ❑ No* Is the audible alarm operational? <br /> JYF—Yes ❑ No* Is the visual alarm 2pSM Tonal? <br /> U-Yes ❑ No* Were all sensors visuall ,functionally tested,and confirmed operational? <br /> .1a'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 /> ❑ N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ,Z N/A 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) ❑Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failureldisconnection? ❑Yes; ❑No. <br /> ❑ Yes: ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> �Y 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 prcTmly? If so,at what percent of tank capacity does the alarmtrigger? % <br /> ❑ Yes* 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 parts m Section E,below. <br /> &-Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)❑ <br /> Product; JEMater. If yes,describe causes in Section E,below. <br /> s ❑ No* Was monitoring s stem set-up reviewed to ensure ?Attach set up reports,if applicable <br /> Yes 10 No* Is all T22!!9!!g& E onal ZF manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be co <br /> E. Comments: I'vt r d f rf �ro dl 11 1-1 :or%lit tlecr t <br /> 3 <br /> Page 2 of 3 OY81 <br /> e <br />