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1 <br /> D: Results of Testis Servicing <br /> Software Version Installed: <br /> Complete the following checklist, <br /> Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm o tional? <br /> Yes ❑ No* Were all sensori visuallyfunctionall tested,and confirmed o tional? <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 proper operation? <br /> 14 Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ❑ N/A operational? <br /> Yes ❑ No* For presstuized 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) JW Sump/rrench Sensors; aDispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 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 /> fill int(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 pLm in Section E,below. <br /> ❑ Yes* 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 tem set-up reviewed to ensure prom settin ?Attach set up reports,if applicable <br /> Yes ❑ No* I Is all monitoring ui mento tional Mr manufacturer's s ifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Continents: <br /> Page 2 of 3 03/01 <br />