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D. Results of Testing/Servicing <br /> :uflwarc Vcrsion Installed: <br /> 'ottwletc the following checklist: <br /> Y tJ Nu* is the addible alarm operational? <br /> Yes U No* Is the visual alar►n operational? <br /> [ U No* Were all sensors visually inspected,functionally tested,and cotcfirmcd 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 /> I Yes ci No!-4.. alarms arc relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A I operational? <br /> Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <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) ❑Sump/Trench Sensors; ❑Dispenser Containment Sensors, <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes; U No. <br /> Yes ❑ No* 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 at the tank <br /> 511 points and operating properly? If so,at what percent of tank capacity does the alarm trigger? _®/o <br /> Yes# o 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 F,below. <br /> Yes* No 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 /> ❑ No* Was monitoring system set-up reviewed to ensure proper settings?'Attach set up reports,if applicable <br /> Yes 1 ❑ No* Is all monitoring equiptztwstt operational per manufacturer's specifications? <br /> 1 x Section E below,describe?how and when these deficiencies were or will be corrected. <br /> Comments: <br /> B <br /> Page 2 of 3 o3/Di <br /> 9 'd 2T TO-B*L (602) e22160 1'0 02 .add <br />