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4 <br />C. Results of Equipment Testing/Inspection/Servicing <br />Complete the follo Ing checklists <br />Yes <br />❑ No* " <br />Were the audible console waming(s) and alarm(s) operational? <br />❑ N/A <br />N/A" indicates console has no audible alarms ) <br />M Yes <br />❑ No* <br />Were the visual console warning(s) and alarm(s) operational? <br />N/A <br />`N/A" indicates console has no visual alarm(s)) <br />M Yes <br />❑ " No* <br />Were all sensors visually inspected, finictionally tested), and confirmed operational? (Whenever practical <br />❑ N/A <br />functional test with water/product rather than inverting a sensor. Discriminating liquid sensors must be tested <br />for water and product(s) detection, and highwater/liquid as applicable. Also test for product floating on water <br />if required Ly the Ins ector/LIA.) <br />® Yes <br />❑ No* <br />Were all sensors found or made clean and free from moisture, damage, defects, rust, scale, debris, and residue <br />N/A <br />which could adversely effect proper operation/performance? (Optical sensor lenses should be cleaned, float <br />type sensors re wire ree movingfloats, metallic sensor robes/ ins need to be clean, etc). <br />1] Yes <br />❑ No* <br />Were all secondary containment sensors installed at lowest point of secondary containment, in the proper <br />❑ N/A <br />orientation, and positioned so that other equipment will not interfere with their proper operation? (Generally, <br />sensors should be located within I " Lfbottom and not in direct contact with surfaces) <br />Yes <br />❑ No*' <br />If alarms are electronically transmitted to or polled by a,remote off-site location, is all communications <br />OO N/A <br />equipment (e.g. fax, modem, remote terminal, etc.) operational? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to on-site alarm stations, is all remote alarm equipment (e.g. lamps, horns, <br />❑x N/A <br />acknowledgement switches, relays, etc.) operational? <br />❑ Yes <br />2 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? <br />If yes: Which sensors initiate positive shut -down? ;(Check all that apply) <br />10 Sump/Trench Sensors; ❑ Dispenser Containment Sensors; ❑ Other <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? 191 Yes; ❑ No. <br />Is there any automatic or manual reset/override means that could allow the pump/turbine to return to operation <br />during an alarm event that should result in positive pump shut -down? 1] 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 />❑x N/A ` <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly, and was alarm activated by a simulated overfill condition? <br />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 parts in Section D, below. <br />® Yes* <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? <br />❑ N/A <br />(Check all that apply) ® Product; ❑ Water. If yes, describe amounts and causes in Section D below. <br />❑x Yes <br />❑ No* <br />Was monitoring system set-up (hardware or programmable) reviewed to ensure proper settings? <br />❑ N/A <br />(Attach set-up reports, if applicable. N/A" indicates set-up not programmable/adjustable) <br />❑ Yes* <br />1l No <br />Were there any active alarms upon arrival or remaining upon departure of this testinghnspection/service? <br />❑ N/A <br />® Yes <br />❑ No* <br />Was all accessible wiring (high voltage, low voltage, communication, relay controls, etc.) inspected for proper <br />type, entry, termination, sealing, and grounding in accordance with manufacturer's specifications? (Specific <br />wire, cable, epoxy seals, and wiring methods, are commonly employed to guarantee the integrity and reliability <br />of system components and sensors) <br />❑ Yes <br />® No*' <br />Is all monitoring equipment oerational per manufacturer's specifications? <br />®' Yes* <br />❑ No <br />Were there any defects or issues of concern observed or discovered during the course of this inspection? <br />If yes, describe in Section D, below. <br />❑ Yes* <br />® No <br />Were there any signs of equipment tampering observed during this inspection? ("Hitched up"sensors, <br />disconnected/bypassed sensors, lights or horns disconnected, relays disconnected/bypassed, etc). If yes, <br />describe in Section D, below. <br />* In Section D, below, describe deficiencies and when deficiencies were or will be corrected. <br />Also list possible causes, suitable corrective actions, and recommendations as necessary. <br />