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D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the foliowin checklist: <br /> A-Yes 0 No* -, Is the audible alarm operational? <br /> U-Yes U No* Is the visual alarm operational? <br /> 0 Yes U No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> a-Yes Ll No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment 1 1, 1— ipment will <br /> ;not interfere with their proper operation? <br /> U Yes U No* If"alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> U N/A operational? <br /> U No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> U N/A Monitoring system detects a leak, fails to operite,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply) i3-Sump/Trench Sensors; Ll Dispenser Containment Sensors. <br /> DWyou confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; Ll No. ' modem <br /> Y <br /> YYes <br /> Yes s <br /> s <br /> Yes <br /> �Yes <br /> L3 Yes <br /> Yes ,n jaen <br /> containment <br /> )r initiate <br /> s U <br /> Sensors. <br /> ' El No* For tank systems that utilize the monitoring system as. the primary tank overfill warning device (i.e. no <br /> U N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what percent of tank capacity 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 /> .0.0 <br /> 0,Yes* U No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) U <br /> I Product; Ll Water. If yes,describe causes in Section E,below. <br /> I-EY Yes U No* Was moniLoripg system set-up reviewed to ensure proper settings?Attach set up reports,if a licable <br /> tf'Yes I Ll No* Is all monitoring equipment operational per manufacturer's specifications? <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: , j) <br /> r ox- X70 <br /> 114 <br /> Page 2 of 3 03/01 <br />