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.., J� cvul ,o: .st) Z01J4bdJ4.3J FIFTH FLUOR PAGE 03 <br /> br Res;lts of Testing/Servicing <br /> L <br /> Software Version Installed: <br /> -Complete the follo ing checklist: <br /> Ycs O No* I Is the audible alarm o rational? <br /> 'Yes ❑ No* Els the visual alarm o erational? <br /> e$ Cl No* Were all sensors visualIX inspected,functionall ,tested,and confirmed o erational? <br /> 2-Yes O No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their 2roper o oration? <br /> O Yes O No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> O-N/A operational? <br /> $Yes Q No* For pressurized piping systems,does the turbine autornatically shut down if the piping secondary containment <br /> Q NIA monitoring system detects a leak,fails to operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shat-down? (Check till that apply) Q Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm 22sitive shut-down due to leaks L4 sensor failure/diseoanection? O Yes; O 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 /> fill oint s and operating ro erl ? If so,at what percent of tank ca aci does the alarm tris er? % <br /> O Yes* O 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 t lacement 2afts in Section E,below. <br /> a Yes' O No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appl)) O <br /> product;Z Water. If yes,describe causes in Section E,below. <br /> @'"Yes Cl No* Was moait2r'g s tem set-up reviewed to ensure proper settin ?Attach set u2 r orts,if a22lica4le <br /> 0-yes 0 No* I Is all monitorin a ui mento erational er manufacturer's s ccifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: C- 1'Gut°G� I n R -/ 1 Sp-di loco c,ke,!-- <br /> Page 2 of 3 03101 <br />