COMPLIANCE INFO_2010-2018 - Laserfiche WebLink

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RECEIVED D.Results of Testing/Servicing APR 0 9 2014 Software Version Installed: 122.00 EWIRONMEWAL Complete the following checklist: HEALTH DEPARTMENT Yes r No* Is the audible alarm operational? r Yes r No* Is the visual alarm operational? Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational? F Yes F No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro r o ration? Yes F No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) N/A operational? WNWANWANVAIMM Yes FNo* For pressurized piping systems,does the turbine automatically shut down if the piping secondary N/A containment monitoring system detects a leak,fails to operate, or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check all that apply) Sump/TrenchSensors; r' Dispenser Containment Sensors. Did you confirm positive shut-down due to 1 eaks and sensor failure/disconnection? Yes; F No. F Yes r N o* For tank systems that utilize the monitoring system as the primary tank overf ill warning device(i.e. no r N/A mechanical overfill prevention valve is installed),is the overfill waming alarm visible and audible at the tank fill point(s)and operating properly?If so,at what percent of tank capacity does the alarm trigger? oda Yes � No y g� * �dxx Was any equipment replaced?If yes,identify specific sensors probes,or other equipment _ replaced and list the manufacturer name and model for all replacement parts in Section E,below. Yes* F No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) r Product; Water.If yes,describe causes in Section E,below. Yes F No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable Yes No* Is all monitoring equipment operational per manufacturer's specifications? *In Section E belay,describe how and when these deficiencies were or will be corrected. ry E. Comments: Other sensors from page one: L4 Generator Floor 794380-208/NA:Certified L5 Fire Box 794380-208/730237: Certified The drop tube is equipped with a mechanical overfill prevention valve.