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P � <br /> A Results of Testing/Servid <br /> Software Version Installed: <br /> Ef <br /> M1 <br /> Complete the following checklist: <br /> Yes ❑ No* Is the audible alarm operational? <br /> 11 Yes ❑ No* Is the visual alarm operational? <br /> es ❑ No* Were all sensors visually inspected, functionally tested, and confurmed operational? <br /> ryo , <br /> es El 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 /> s ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> D'g%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) Sump/Trench Sensors; Ispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? B-7—es; U No. <br /> ❑ Yes Ll No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 0--fq7X- mechanical overfill prevention valve is instalIed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s) and operating properly? 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 replacement parts in Section E,below. <br /> es* ❑ 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 up reports,if applicable <br /> es ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: 14—r& I'/ �,? �r �a �r & C) --' �r -7 � Sc.. />r✓ �`� � � � <br /> t <br />