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RECEIVED <br /> D.Results of Testing/Servicing <br /> FEB2016 <br /> Software Version Installed: 121.00 <br /> Complete the following checklist ENVIRONMENTAL <br /> �� nIT <br /> X❑ Yes ❑No* i Is the audible alarm operational? <br /> l <br /> ❑X Yes ❑ No* Is the visual alarm operational? <br /> ..... .. <br /> ,Were all <br /> ❑X Yes ❑No* sensors v isually inspected. functionally tested,and confirmed operational? <br /> X Yes No will not interfere with their p , <br /> _.... ... .e_,.. — . _ <br /> ❑ ❑ * Were all sensors installed at lowest oint of secondary containment and positioned so that other equipment <br /> roper opration� <br /> �5,,�.��tiaua�, <br /> 1 ❑X Yes No* ;If alarms are relayed to a remote monitoring station, is all commmications equipment(e.g.modem) <br /> operational? <br /> ❑N/A <br /> "k"W 'W;::; ,z.�z�, a........ ������a� ,��a.a,�i<���R:i��,z✓,sk'a„ ��� „+�.:>�y..�o���`�, i Y <br /> For pressurized piping systems, does the turbine automatically shut down it the piping secondary <br /> F-1 Yes ❑No* <br /> ?containment monitoring system detects a leak,fails to operate,or is electrically disconnected?Ifyes:which <br /> X❑ <br /> N/A <br /> sensors initiate positive shut-down?(Check all that apply) <br /> I <br /> E ❑Sump/Trench Sensors; ❑Dispenser Containment Sensors. Did you confirm positive shut-down <br /> due to leaks and sensor failure/disconnection? <br /> ❑Yes ❑No <br /> E <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 /> Q N/A <br /> 1'tank fill point(s)and operating properly?If so at what percent of tank capacity does the alarm trigger? <br /> i <br /> .. ..O <br /> QYes* ❑ No Was any monitoring equipment replaced?If yes,identify specific sensors, probes,or otherequipment <br /> and list the manufacturer name and model for all replacement parts in Section E,below. i <br /> __.... ._------------.,.� .�. ,.. ___ _ __ <br /> � ��liquid found inside aWater.Ifes,describe causes in <br /> designed as dr systems? Cheek all t � �� <br /> ❑Yes* No q Y y' y• g Y Y ( � that {' <br /> jj la l� ❑Product, Section E below. <br /> ZYes ❑No Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable { <br /> is <br /> QYes € ❑No* Is all monitoring equipment operational permanutacturer s specifications? <br /> *in SectionE below,describe how and when these deficiencies were orwill be corrected <br /> E. Comments: <br /> An Overfill Prevention Valve is Located in the Drop Tube <br /> Replaced TLS backup battery prior to Certification <br />