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U. '7)U 4QJ"O rw;,� rI iH rLUUK HAUL b3 <br /> 49 D. Results of Testing/Servicing <br /> �SoN,are Version Installed: <br /> . <br /> Complete the following checklist: <br /> ET Yes D No* Is the audible alarm o erational? <br /> Yes ® No* Is the visual alarm o erational? <br /> 13'Yes 13 No* Were all sensors visual) j!jVected,functional) ,tested,and confumed o erational? <br /> es Q No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper o eration? <br /> Q Yes C No* if alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> 3'—N/A operational? <br /> U—Yes 0 No* For pressurized piping systems.does the turbine automatically shut down if the piping secondary containment <br /> D N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shat-down? (Check all that apply) Q Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks an sensor failure/disconnection? ® Yes; 0 No. <br /> ® Yes D No* For tank systems that utilize the monitoring system as the primary tank: overfill warning device (i.e. no <br /> M'N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and o traria ro erl ? If so,3twhat Eercent of tank ca aci docs the alarm tris er? % <br /> Yes* Or 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 Rafts in Section E,below. <br /> Yes' D No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appl)) O <br /> Product; O Water. If yes,describe causes in Section E,below. <br /> 4Yes Q No* Was monitoringsystem set-up reviewed to ensure ro er settings?Attach set u reports,if a licable <br /> Yes D No* I5 all monitorin a ui trent o erational er rnanufacttarer's s ccifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03101 <br />