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07/28/2004 15:22 209-5772m&040 BOYETT PETROLEUM PAGE 09/1• <br />,ts of Testing/Servicing <br />,are Version installed; <br />.omvlctc the followinp. <br />checklist: <br />Yes ❑ No* <br />Is the audible alarm o erational? <br />Yes ❑ No* <br />is the visual alarm o erational? <br />QT'Ves Cl No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />If Yes ❑ Noe <br />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 />❑ Yes ❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />1f'N/A <br />operational? <br />Yes ❑ NO <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />Q N/A <br />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) $Mump/Trench Sensors; ❑ Dispenser C3ptainment Sensors. <br />Did you confirm 2ositive shut -down due to leaks and sensor failure/disconnection? WYes; Q No. <br />Q Yes Q No* <br />For tank systems that utilize the monitoring system as the primary tank overbill warning device (i.e. no <br />CSN/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />Tilt oint s and operating ro erl If so, at what Rercent of tank capacity does the alarm tri r? <br />❑ Yes* No <br />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 B, below. <br />❑ Yes* No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ <br />Product; ❑ Water. If M, describe causes in Section E, below. <br />ff"Yes ❑ No'" <br />I Was monitoring s stern set-up reviewed to ensure proper settin ? Attach set up re orts if aRElicable <br />Yes ❑ Np* <br />Is all monitoring ut merit Q erational pjr manufacturer's specifications? <br />* 2n Section E below, describe how and when these deliciencles were or will be corrected. <br />E. Comments: <br />Page 2 of 3 03101 <br />