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D. Results of Testing/Servicing <br /> / <br /> Software Version Installed: <br /> Co fete the follo ng checklist: <br /> td ❑ No* Is the audible alarm operational? <br /> es ❑ No* Is the visual alarm operational? <br /> ❑ No* Were all sensors visually ins ted,functionally tested,and confirmed operational? <br /> Yes ❑ 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 /> ❑ Yes ❑ o* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> N/A operational? <br /> Yes ❑ No* For pressurim"iping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to ope��rate�,or is electrically disconnected? If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) GrSump/Trench Sensors; ❑Dispenser Cogtainment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? (ff Yes; ❑No. <br /> ❑ Yes ❑ >T& For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> Ut"ON/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fillpoint(s)and operating m rl ? If so,at what pment of tank capacity 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* V 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 monitoring system set-up reviewed to ensure pro2Sr settings?Attach set up reports,if a licable <br /> Yes ❑ No* I Is all monitorigg Squipmento rational per manufacturer's s ifications? <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 />