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D. Results of Testing/Servicing E T Dispatch <br /> Software Version Installed: <br /> Complete the foliowing checklist: <br /> a"Yes D No- Is the audible alarm operational? <br /> '"Yes ZI No* Is the visual alarm operational? <br /> 4.71 Yes 0 No* Were all sensors visually inspected.functionally,tested. and confirmed operational? <br /> Yes :1 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> Z1, Yes ZI No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> Z'N/A operational? <br /> E-1 Yes 2 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> D N/A monitoring system detects a leak fails to operate, or is electrically disconnected? If Yes:which sensors initiate <br /> positive shut-down? (Check all that apply) 'dump/Trench Sensors; dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 2-yes; El No. <br /> U Yes No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 0 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 /> U Yes* ZI 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 /> D Yes* RNo Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)0 <br /> Product; 0 Water. If yes,describe causes in Section E,below. <br /> 2'Yes Zl No* Was monito cr system set-up reviewed to ensure proper s2jt�ms?Attach set up reports,if ap <br /> rin, 2livable <br /> a Yes D No" Is all monitoring 291ipmento perational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: 12 3� r- :r—C <br /> e 0 ue ZO '2'Z M atlg2e­ Pe L.,i'skv&s- ' '�-2-2'1,5c <br /> Page 2 of 3 <br />