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REGFiVEU
<br /> D.Results of Testing/Servicing 2016
<br /> Software Version Installed: 120.00 ENVIRONMENTAL
<br /> Complete the following checklist:
<br /> X Yes ❑No* els the audiblealanm operational?
<br /> �.
<br /> FXYe .... �� �_. ,.� . ,,,, .M,, .�. wn,.�w„�� .. .. _ ,...�� M ,.
<br /> ❑ s ❑No* Is the visual alarm operational?
<br /> were all sensors�rsuallvins inspected., functionally
<br /> ❑X Yes ❑No* p tonally tested and confirmed operational
<br /> * Were all sensors instal led at lowest point of secondary containment and
<br /> v
<br /> 0 Yes ❑No P t and positioned so that other equipment
<br /> will not interfere with their
<br /> a �E _bro er operations ....r„, :a�..,, u; _��.-:.oma„ ,. -r.o.,R�.•:��cF, •.aev
<br /> ❑X Yes ❑No* Af alarms are relayed to a remote monitoring station, is all communications equipment(e.g.modem)
<br /> ❑N/A operational?
<br /> � r,:YaO�...�v�.,,:,,k-F n:..s.. .u• kr,,,M1:a v7�WE;,. Y��N"I..:,a�����Uk.M :;ti�3�y.��u.,,,,.� .H,:.i �1:�`�cs•:.a ,ti"z:'��'q;\ �:rek..i3�a��' � .,��'`1�;� \�, � ..w ro�r, ��;a ti��^r,.....;;�'
<br /> ❑ Yes ? ❑No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary
<br /> MX
<br /> N/A containment monitoring system detects a leak,fails to operate,or is electrically disconnected?lfyes:which
<br /> sensors initiate positive shut-down?(Check all that apply)
<br /> �: ❑Sump/Trench Sensors; ❑Dispenser Containment Sensors. Did you confirm positive shut-down
<br /> =i due to leaks and sensor failure/disconnection? s_
<br /> ❑Yes_ ❑No.
<br /> i
<br /> * For tank systems that utilize the monitoring system as the � �
<br /> H ElYes ❑No g Y ) primary tank vertill warning device
<br /> i(i.
<br /> in overfill prevention valve is installed is the overfill warin alarm visible and at the
<br /> N/A :,tank fill point(s)and operating properly?If so, at what percent of tank capacity does the alarm trigger?
<br /> E
<br /> %
<br /> QYes* ( ❑ No Was ani monitoring equipment replaced?If yes identify specific sensors,probes, or other equipment
<br /> I replaced and list the manufacturer name and model for all replacement p arts in Section F below
<br /> p
<br /> ❑Yes X No inside any secondary containment systems designed as dry systems? (Check all that
<br /> ° ct ❑Water.If yes describe causes in Section E, below.
<br /> 0 Yes ❑No* 1jWas monitoring system set-up reviewed to ensure proper settings?Attach set up reports if applicable
<br /> X Yes ' No* Is all monitoring equipment operational p er m an ufactu rer's spec ifications? �
<br /> *In Section E below,describe how and when these deficiencies were or will be corrected
<br /> E. Comments:
<br /> Other Sensors from Page 1:
<br /> L3:Vent Sump Sensor-794380-208/515989-Certified
<br /> L4:Transition Sump Sensor-794380-208/1076768-Certified
<br /> L5: Inside Piping Pan Sensor-794390-420/793173-Certified
<br /> An Overfill Prevention Valve is Located in the Drop Tube
<br /> Replaced TLS backup battery prior to Certification
<br /> Replaced L4:Transition Sump Sensor Like For Like and Certified
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