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Software Version Installed: ® # s <br /> Complete the followin.-checklist: <br /> Yes ❑ No* 1s the audible alarm o erational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes ❑ No* Were all sensors visually inspected, functionally tested,and confirmed operational? <br /> 1,6 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. Ine <br /> N/A operational? <br /> ❑ Yes C� No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary con <br /> �j N/A monitoring system detects a leak,fails to operate, or is electrically disconnected? If yes:which sensorpositive shut-down? (Check all that apply) ❑Sump/Trench Sensors; ❑Dispenser Containment SensDid ou confirm ositive shut-down due to leaks and sensor failure/disconnection? ❑ Yes; ❑No. <br /> Yes ❑ No* For tank systemsthat utilize the monitoring system as the primary tank overfill warning deviceXI N/A mechanical overfill prevention valve is installed), is Ithe overfill warning alarm visible and audible at <br /> fill point(s) and operating properly? If so, at what,percent of tank capacity does the alarm trigger? <br /> ❑�es* 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 in Section E,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 /> r- Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable - <br /> Yes ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> "In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03101 <br /> i <br />