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D. Results of Testing/Servicing <br /> Software Version Installed: S°® <br /> Com tete the follow ng checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Yes ❑ No* Were all sensors installed at.lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> IQ Yes ❑ No* If alarms are relayed to a remote monitoring station,. is all communications equipment (e.g. mode-n) <br /> ❑ N/A operational? <br /> Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A 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) K.Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Xt Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fillpoint(s)and o rating ro rl ? If so,at what percent of tank capacity does the alarm trigger? <br /> Yes* ❑ No 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 re lacement parts in Section E,below. <br /> Yes* ❑ No 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 ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set uR reports,if a22licable <br /> Yes ❑ No* Is all monitoring ui mentoperational per manufacturer's's ecifications? <br /> *In Section E below,descn'be how and when these deficiencies were or will be corrected. <br /> E. Comments: ��oLt�r Pct <br /> _°khexe w f�S gj^'-O1, %aL O n C)'F Fuel k n �Zl A O:62 <br /> r,ne-cyr <br /> Page 2 of 3 03/01 <br />