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s <br /> Site Address: SS#2093,3425 TRACY BOULEVARD,TRACY Date of Testing/Servicing: 12 -3-0 Z- <br /> D. Results of Testing/Servicing <br /> Software Version Installed: lv`F 4 <br /> Complete the following checklist: <br /> Eg Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm op erational? <br /> Yes F1 No* Were all sensors visuall inspected,functionally tested,and confirmed operational? <br /> (� Yes [I 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 /> ❑ Yes ❑-No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> JZL N/A operational? <br /> ER Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ 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) Vq Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? JO Yes; ❑No. <br /> ❑ Yes ❑ No* 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 /> fillpoint(s)and operating ro rl ? If so,at what percent of tank capacity does the alarm trigger? o <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 r lacement arts in Section E,below. <br /> ❑ Yes* a 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 system set-u reviewed to ensure proper settings? <br /> ® Yes ❑ No* Is all monitorin a ui mentoperational per manufacturer's s ecifications? <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 />