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D. Results of Testing/Servicing <br /> Software Version Installed: / E <br /> Co Tete the following checklist: <br /> FQf ❑ No* Is the audible alarm operational? <br /> es ❑ No* Is the visual alarmoperational? <br /> ❑ No* Were all sensors visual) inspected,functional) tested,and confirmed operational? <br /> P <br /> ❑ No* ere all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> ❑ o* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A operational? <br /> ❑ No* For pressurizedpiping systems, does the turbine automatically shut down if the piping seconda containment <br /> - - secondary <br /> ❑ N/A monitoring system detects a leak,fails to ope_ra�te,or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) GI'Sump/Trench Sensors; ❑Dispenser Cop�tainment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? O"Yes; ❑No. <br /> ❑ Yes ❑ * 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 /> fill int(s)and operating ro rl ? If so,at what percent of tank ca aci does the alarm trigger? % <br /> ❑ Yes* ❑ N 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 /> ❑ Y s* • 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 /> es ❑ No* Was monit ring system set-up reviewed to ensure 2roper settings?Attach set u2 reports,if a licable <br /> Yes ❑ No* Is all monitoring ui ment o2otional per manufacturer's s ifications? :J <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E., Comments: <br /> Page 2 of 3 03/01 <br />