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t lt- 1H t-LWI\ <br />D. •Reaults of Testing/Serviciag <br />Software Version Installed: <br />PAGE 03 <br />Complete the foil <br />at cheeldist: <br />Ycs O No* <br />Is the audible alarm rational? <br />Yes O No* <br />Is the visual sh m o bona!? <br />Yes <br />O No* <br />Were all $ visually ins ectc functional) X tested, and confumad o eaational? <br />AT Yes <br />O No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment Nd•ill <br />not in to with their r tion? <br />O Yes <br />®No• <br />If alarms arc relayed to a remote monitoring station; is all communications equipment (e.g. modern) <br />,' NIA <br />operational? <br />❑ Yrs <br />0 No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />NIA <br />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) Cl Sump/Trench Sensors; ® Dispenser Containment Sensors. <br />Did ou confirm 22sitive shutdown duo !2 leaks IW sensor failuretdiscoanection? O Yes; O No. <br />❑ Yes <br />Cl No• <br />For tarik systems that utilize the monitoring system as the pritnary tank oaxrfiil warning device (i.e. no <br />NIA <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />tlll�o s and otMratitt p�alxrly? Ii so= at wfiat t of tank ca 't�does the - tri�ser? % <br />❑ Yes* <br />No <br />la —_ <br />Was any moni equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and 1 for all r lacenunt arts in Section E, below, <br />O Ycs• <br />No <br />Was liquid inside any secondary containment systems designed as dry systems? (Check all that appl)) ❑ <br />Product: ® Water. If describe in Section E below. <br />JW Yes <br />O No* <br />f Was tao ' s ern set-up reviewed to ensure projwr ? Attschsetyg Marts, if aRelicakle <br />Yes <br />O No-. <br />Is sll tnonitoriaI Sui wwnt =tional Igr manufacturer's s iFteations? <br />I in Section E below, describe how and when thiese tttUciencles were or win be C""Med. <br />E. Comments: <br />pagt 2 of 3 03101 <br />