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J= D G'f'E_'H_ 11 N Page 2 R' E Facility: Hammer 1-5 Arco D. Results of Testing/Servicing ENVIRONMENTAL HEALTH Software Version Installed: 333.06 DEPARTMENT Complete the following checklist: ®Yes ❑ No* Is the audible alarm operational? ❑ Outside Audible Alarm? ®Yes ❑ No* Is the visual alarm operational? ®Yes ❑ No* Is the print function operational? ❑ Not installed. ®Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? ®Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? El Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. ® N/A modem) operational? ®Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary ❑ N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ® Sump Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ® Yes; ❑ No. ❑Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. ® N/A no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? ❑Yes* ® 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 replacement parts in Section E, below. ®Yes* ❑ 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* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if ap licable ®Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: There was a small amount of water found in the LCT piping sump and the Transition Piping sump. Water removed and placed in Barrel onsite. There was a substantial amount of water in all 3 fill sumps (20-25 gallons each) We were unable to remove that water on this day because there was no where to store it. A return visit is needed buy either us or another company to remove the water. Page 2 of 3 03/01