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dl/ 14/ 4001 ld: JV 4ay41bdJ4JJ FIFTH FLOOR PAGE 03 <br />D. Results of Testing/Servicing <br />Software Version Installed: <br />CompTete the followint <br />checklist; <br />Yes D No* <br />is the audible alarm rational? <br />Yes D No* <br />Is the visual alarm erati ? <br />Yes O No* <br />Were all sensors visual! j!js2ected, functionally tested, and confirmed operational? <br />cs ❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment vv'ill <br />not interfere with their pMr enation? <br />0 Yes ® No* <br />If alarms are relayed to a remote monitoring station, is all eorrununications equipment (e.g. modem) <br />/A <br />operational? <br />Z Yes Q No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary contaianxnt <br />Q NIA <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) ® Sump/Trench Seniors; a Dispenser Containment Sensors. <br />Did you confirm B2sitiva shun -down due to leaks MW sensor failure/disconnection? ❑ Yes; Q No. <br />O Yes ,O'No* <br />For tank systems that utilize the monitoring system as the primary tank ovvrfill warning device (i.e. no <br />O N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill int s and o ratite c eel ? If so at `4fiat rant of tank ca aeidoes the trigger? d <br />O Yes* o <br />Was any rnonitoring equipment replaced? If yes, identify specific sensors, probes, or ocher equipment replaced <br />and list the manufacturer nam and model for all r l nt atic in Section E below. <br />❑ Yes* o <br />Was liquid found inside any seco coma' t systems deal d as dry systems? (check call brat appI ) ❑ <br />Product• D Water. If yes, describe causes in Section E, below. <br />.la -Yes t] No* <br />Was monitoring s. em set -u reviewed to ensure ro er wain ?Attach set u report if a lira !e <br />es 1 O No*. <br />Is all monitorin a ui t o erational ger manufacturer's spccificatiow. <br />* In Section E below, describe how and when these 4etIciencles were or win be correctco. <br />E. Comments: <br />Page 2 of 3 03101 <br />