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El <br />D. Results of Testing/Servicing <br />Software Version Installed: 1( . O <br />Complete the following checklist: <br />Yes <br />❑ No* <br />Is the audible alarm o rational? <br />es <br />❑ No* <br />Is the visual alarm operational? <br />Q'IIs <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmedoperational" <br />Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their properoperation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />i3'N/A <br />operational? <br />❑ Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <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) ZSumpfrrench Sensors, ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? 2`�es; ❑ No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />O N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill int(s) and operating o eri ? If so, at what 2ercent of tank Macity does the alarm trigger? % <br />❑ Yes* <br />@`No <br />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 parts in Section E, below. <br />❑ Yes* <br />allo <br />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 <br />❑ No* I <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up re orfs, if applicable <br />❑ Yes <br />o* I <br />Is all monitoring ! i mento rational ar manufacturer's s ecifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: 4w i c (-A,L ,�,c E <br />S 4,r r D06 -e-"- . <br />f'4L L / t kc '4>,4!�75�C -r-/4h%IC - -j `i- w t LL f`&ty<,<- 7-0 G� <br />725sP 21 P'Zal -P" :.zLz c° k,4, ws co t'itt Ey 47�3t <br />Page 2 of 3 03/01 <br />