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�. �L4, cued IU. JU 4n7400a4a,s <br />e <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />Co=lete the folloaviar checklist: <br />F 1F l H FLUUR <br />PAGE 03 <br />13Yes O No* <br />Is the audible alarm rational? <br />0 Yes Cl No* <br />Is the visual alarm o erational? <br />Yes ❑ No* <br />Were all smsorl visually ins ecte functional) X tested, and confirmed o erational? <br />Yes ❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment Nvill <br />not interfere with their E2Er ration? <br />® Yes 0 No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (c.g. modem) <br />.0"N/A <br />operational? <br />O Yes Q No* <br />For pressurized piping systems, toes the turbine automatically shat 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 scissors initiate <br />positive shut -down? (Check all that apply) ® Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br />Did you confirm E2sit shut -down duo to leaks Lid sensor failure/disconnection? ❑ Yes; ❑ No. <br />❑ Yes ❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill 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 tank <br />fill 22Msl and operating ro eel ? If so at what percent of tank ca aci docs the alarm triAger? <br />0 Yes* No <br />was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />I and list the manufacturer name and model for all re lacement 2arts in Section E, below. <br />Yes" O No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Gtech all that appl)) O <br />Product; Nater. If Xgs, describe causes in Section 1~ below. <br />es .0 No* <br />Was monito ' s. tern set -u reviewed to ensure proper setti ? Attach set u reports, if ApRlicalc <br />Yes O No* . <br />Is all monitoring SSWpment 2EMtional Ber manufacturer's s ceificatiorts? <br />• In Section E below, describe how and when these deficiencies were or will be corrected. <br />/p e <br />E. Comments: i /I a5,0 0,11 Ll C/%'d f f A rw - ,Z .a4�� `f4b d <br />----� <br />Page 3 of 3 03101 <br />