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RECEIVED <br />D. Results of Testing/Servicing DEC 0 9 2015 <br />Software Version Installed: 127.04 ENVIRONMENTAL <br />HI=AITW n=4 TUPRIT <br />Complete the following checklist: <br />_..._ ___._ ,..... _. ____ <br />�Q Yes 1 ❑ No* € 16, the audible alarm operational? { <br />❑X Yes ❑ No* Is the visual alarm operational? <br />r <br />Q Y❑Noes Were all sensors visually inspected,functionally tested and confirmed operational? <br />»w.,. <br />Were all interfere with No* sensors instal led at lowest of secondary containment and positioned so <br />QX Yes �, ❑ � p _that other equipment <br />will not i h their <br />i ro er o oration? <br />„4ake�,vv'2iWEki,�:�f��;�,���P,"•R`�",.ftS111;b3���` S?k4li, ,y. ����@ "�U��R)11FF� R \l,u"' 'd>a;:r1. <br />®i ® * If alarms are relayed to a remote monitoring statin is all communications equipment e. modem <br />Yes No 3( g ) E <br />Q N/A ; operational? <br />® Yes i ❑ No* For pressurized piping systems does the turbine automatically shut down if the piping secondary <br />containment monitoring system detects a leak, fails to operate, or is electrically disconnected9 dyes: which € <br />❑ N/A sensors initiate positive shut -down? (Check all that apply) <br />I <br />_ FXSump/Trench Sensors; ❑X Dispenser Containment Sensors. Did you confirm positive shut -down <br />due to leaks and sensor failure/disconnection?! <br />❑X Yes;❑No. <br />�❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the <br />❑X N/A tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? j <br />i <br />1 <br />o <br />/o _ <br />❑Yes* Q No a' Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br />replaced and list the manufacturer name and model for all replacement parts in Section E, below. <br />..._........................_ • _,....,,,,,,,. _. ._....... ,__.,.......,, ,,._ ..... <br />❑Yes* FX No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that <br />apply) ❑ Product; ❑ Water. If yes, describe causes in Section E, belov, <br />® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />...__._._.._.._...._._._. _ _ _......... <br />_......... __....,. _.,.. _._.......... _._._..._......_..._.. a <br />® Yes ❑ No* Is all monitoring equipment operational per manufacturer's specificatrons� <br />In Section below, describe how and when these deficiencies were or <br />* will be corrected. <br />E. Comments: <br />Other sensors from page one: <br />L3 STP Sump 794380-205: Certified. <br />The drop tube is equipped with a mechanical overfill prevention valve. <br />