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E. Comments: <br />Additional sensors from page 1. <br />L-3 Middle sump 794380-208/675659 Certified. <br />L-5 Supply Transition 794380-208/784715 Certified. <br />L-6 Vent Transition 794380-208/775641 Certified. <br />L-7 Pump pan 794380-108/882703 Certified. <br />L-8 Transition Box794380-208/907192 Certified. <br />L-9 Hi level generator (1)9794390-420/950414 Certified. <br />L-10 Hi level generator (2) 794390-420/922325 Certified. <br />L-11 Generator floor (1) 7943780-208/941676 Certified. <br />L-12 Generator floor (2) 794380-208/927249 Certified. <br />L-13 Secondary pipe (roof) 794380-208/927275 Certified. <br />An overfill prevention valve is installed in the drop tube. <br />RECEIVEL, <br />D. Results of Testing/Servicing <br />AUG 2 8 215 <br />Software Version Installed: 123.01 <br />Complete the following checklist: <br />0 Yes <br />El No* <br />',Is the audible alarm operational? <br />ti-a .4Yr.:;, C. "um <br />H ❑i� Yes <br />NRm '�'%f 7«"�t"Jfl..id'�u",�.v°3`.3..: tkt,.4Y3S'� 3£. �.�ti„'S.tz"3 SF:P v R, x.yG_ F ,ea�,F .Y ffi'kna%.:SP�m1R+'�iv4?Y;a <br />�� ❑ No* '11ls the visual alarm operational? <br />Q Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational?� <br />Q Yes <br />❑ No* <br />r, Were all sensors instal led at lowestpoint of secondary containment and positioned so that other equipment <br />�{ <br />�' will not interfere with their <br />pro�er operation? <br />0 Yes <br />F-1 No*} <br />' If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem <br />❑ N/A <br />"operational? <br />...vs}.h\n <br />FYes F-1 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary <br />0 N/A <br />containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which �t <br />,;sensors initiate positive shut-down? (Check all that apply) <br />�l <br />'' ❑ Sump/'French Sensors, ❑ Dispenser Containment Sensors. Did ),on confirm positive shut-down <br />;due to leaks and sensor failure/disconnection? <br />El Yes: ❑No <br />Yes <br />❑No* <br />❑ <br />'For tank systems that utilize the monitoring system as theprimary tankoverfill warning device (i.e. no <br />N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the <br />1' <br />s; <br />tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? <br />i <br />% <br />❑yes* <br />No <br />Was any monitoring equipment replaced'? If yes identify specific sensors, probes, or other equipment <br />;replaced and list the manufacturer name and model for all replacement parts in Section E, below. <br />Oyes* <br />No <br />3� Was liquid found inside any secondary containment systems designed as dry systems? (Check all that <br />{ <br />apply) ❑ Product ❑ Water. If yes describe causes in Section E below. <br />FX Yes <br />11 ❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports if applicable <br />Yes <br />No* <br />w <br />Is all monitoring equipment oerational ermanufacturer'sWsPccifications?0 <br />�.... <br />_.... ,._... .... <br />* In Section E below, describe how and when these deficiencies were or will be corrected <br />E. Comments: <br />Additional sensors from page 1. <br />L-3 Middle sump 794380-208/675659 Certified. <br />L-5 Supply Transition 794380-208/784715 Certified. <br />L-6 Vent Transition 794380-208/775641 Certified. <br />L-7 Pump pan 794380-108/882703 Certified. <br />L-8 Transition Box794380-208/907192 Certified. <br />L-9 Hi level generator (1)9794390-420/950414 Certified. <br />L-10 Hi level generator (2) 794390-420/922325 Certified. <br />L-11 Generator floor (1) 7943780-208/941676 Certified. <br />L-12 Generator floor (2) 794380-208/927249 Certified. <br />L-13 Secondary pipe (roof) 794380-208/927275 Certified. <br />An overfill prevention valve is installed in the drop tube. <br />