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Da Results of T Ostin eraviein <br /> Software Version Installed: 16.01 <br /> / <br /> complete the foluo ing checklist: <br /> Yes ® No* Is the audible alarm operational? <br /> Yes ® No* Is the visual alarm operational? <br /> EQ Yes ® No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> UL Yes ® No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their Eger operation? <br /> ® Yes ® No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> CIL N/A operational? <br /> FwL 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; ®Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ®Yes; ❑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 point(s)and operating ro rl ? If so,at what percent of tank capacity does the alarm trigger.? <br /> ® Yes* W 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 /> ® Yes* 91 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> Product; U Water. If yes,describe causes in Section E,below. <br /> Yes ® No* Was monitorin s stem set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Yes ® No* I Is all monitorin a ui mento erational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 03/01 <br />