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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> Yes ❑ No* Is the audible alarm o rational? <br /> Yes ❑ No* Is the visual alarm o tional? <br /> Yes ❑ No* Were all sensors v aWl ins functionallytested,and confirmed 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 pTM 0 bon? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> )b N/A operational? - <br /> Yes ❑ No* For prmtuized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to opqrate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply).4 Sump/Trench Sensors; aDispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection?J4 Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank ov&fiII warning device (i.e. no <br /> JQ N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill int(s)and o ratio ro rl ? If so,at what ca percent of tank aci does the alarm trigger? % <br /> ❑ Yes* 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* W 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 /> Yes ❑ No* Was monitoring s stem set-u2 reviewed to ensure proper sectio ?Attach set 22 reports,if ap2licable <br /> Yes ❑ No* Is all monitoring ui ment o2Mtional 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 /> /11 ac <br /> Page 2 of 3 03101 <br />