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Facility: Hammer 1-5 Arco Page 2 D. Rest Its of Testing/Servicing Software Version Installed:328.04 Com let the follo ing checklist: ®Yes ❑ No* Is the audible alarm operational? El Outside Audible Alarm? ®Yes ❑ No* Is the visual alarm o2erational? 2 Yes ❑ No* Is the print function o2erational? L]Not installed. *Yes ❑ No* Were all sensors visual)X ins2ected,functionally tested,and confirmed o2erational? *Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their 2ro2er o2eration? ❑Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) I Z N/A operational? *Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) 0 Sump Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Z Yes; ❑No. ❑Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank I fill 2oint(s)and o2erating 2roperly? If so, at what percent of tank capacity does the alarm trier? ❑Yes* ED No Was any monitoring equipment replaced? If yes, identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all re2lacement 2arts in Section E,below. ❑Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; ❑ Water. If yes,describe causes in Section E,below. •Yes [:] No* I Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable •Yes I El No* I Is all monitoring eguipmento 2erational per manufacturer's s2ecifications? * In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: The only concern was that there was a piece of metal that had fallen onto the prernim float in the 1-2 dispenser,and there was a piece of tape holding down the float in the 7-8 dispenser.Both were dry upon arrival and opperated correctly. Page 2 of 3 03101