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6. dRATORS OF NUTHMN CALrF08k1A i, i, a • e 1 ' 12, am ❑ pm wren OK ❑ 4bulbs light printer works 0AW ❑ On-going alarms) 2 Ct r -t." jaam ❑ pm ,&;Siren OK PAII bulbs light Winter works E3-AFN* ❑ On-going alarm(s) / 3 '• V" 7 am ❑ pm ,,Cel' Siren OK PAII bulbs light rinter works N* ❑ On-going alarm(s) 4 am ❑ pm , siren OK ❑'AII bulbs light .21 Printer works N* ❑ On-going alarm(s) 5 , M'am ❑ pm XT Siren OK ®''All bulbs right M -Printer works L3 AFN* ❑ On-going alarm(s) \ • -� 6 :� � �, P"am ❑ pm : EfSiren OK A All bulbs light 12 -Printer works –o3 AFN* ❑ On-going alarm(s) ~� 7 �) t am ❑ pm ,J3'81ren OK – °A�l bulbs light Printer works ,,,.AFN* 13 On-going alarm(s) ' 8 --' t ; am ❑ pm Z'Siren OK:,{ All bulbs light annter works •AFN* ❑ On-going alarm(s) 9 am ❑ pm r'S1ren OK - AU bulbs light fi5 Printer works a�N* ❑ On-going alarms) 10 L r`V� A am ❑ pm .ETSiren OK ❑ All bulbs light ,E1Printer works _0 N* ❑ On-going alarm(s) :? " 11 \ ,.®"am ❑ pm ren OK I bulbs light „�,OTrinter works p'AFN* ❑ On-going alarm(s) 12 0am ❑ pm WSiren OK -Ali bulbs light []..Printer works -9 AFN* ❑ On-going alarm(s) 13 -mam ❑ pm ren OK _M[II bulbs light J:Wdnter works JD AFN* ❑ On-going alarm(s) 14 ; I ( C"am ❑ pm G' Siren OK X4I bulbs light ,Q -Printer works --[--AFN* ❑ On-going alarm(s) t 15 -f Wam ❑ pm AErSiren OK ®AII bulbs light Tinter works ',AFN* ❑ On-going alarm(s) 16 am El Pm Siren OK bulbs light hater works AFN* ❑ On-going alarms)' j 17 t '� 2' � j j7am ❑ pm Wren OK D Airbulbs light ,13'Prinller works AFN* ❑ On-going alarm(s) 18 , s t --i'`7 am ❑ pm -0"Siren OK Q Alrbulbs light _12 -Printer works [3AFN* ❑ On-going alarm(s) 19 ; 61 1121m ❑ pm R -Siren OK J..AII bulbs light Q -Printer works 12-AFN* ❑ On-going alarm(s) 20 p4m, ❑ pm JR,8iren OK C]bs light Tinter works * ❑ On-going alarm(s) 21 1-313— s® am_ ❑ pm E'Sir n OK ❑�AiH�lbs light _0" Printer works ❑ On-going alarm(s) 22 4( a Cl pm Siren OK I bulbs light anter works ❑ AFN* _ n-goin alarm(s) (� 23 0am ❑ prn iron OK 114 bulbs light P- rater works ❑ AFN*-going alarm(s) 24 ❑ am ❑ pm ❑ Siren OK ❑ All bulbs light ❑ Printer works ❑ AFN* ❑ On-going alarm(s) 25 ❑ am ❑ pm ❑ Siren OK ❑ All bulbs light ❑ Printer works ❑ AFN* ❑ On-going alarm(s) 26 © am ❑ pm 11Siren OK ❑ All bulbs light ❑ Printer works ❑ AFN* ❑ On-going alarm(s) _ 27 ❑ am ❑ pm ❑ Siren OK ❑ All bulbs light ❑ Printer works ❑ AFN* ❑ On-going alarms) 28 ❑ am ❑ pm ❑ Siren OK ❑ All bulbs light ❑ Printer works ❑ AFN* ❑ On-going alarm(s) 29 ❑ am ❑ pm ❑ Siren OK ❑ All bulbs light ❑ Printer works ❑ AFN* ❑ On-going alarm(s) 30 ❑ am ❑ pm L C❑ Siren OK ❑ All bulbs light ❑ Printer works ❑ AFN* ❑ On-going alarm(s) 31 ❑ am ❑ pm 111 Siren OK ❑ All bulbs light ❑ Printer works ❑ AFN* ❑ On-going alarm(s) * AFN = ALL FUNCTIONS NORMAL. (no current alarms) Instructions: Press the alarm test button on the UST monitoring system (MS) and record the results under the "Daly Monitoring System Test Results" column. If there are no current alarms, check the "AFN" box. If an alarm is occurring at the time of the daily MS test, check the "On-going Alarm(s)" box and record the sensor 10(s) and the alarm panel screen reading(s) under the "If In Alarm, Screen Reads." column. Complete the separate UST System Alarm Response Log for each MS environmental alarm noted (ail alarms except "Paper Out" or "Fuel Delivery Needed"). Only a trained "Facility Employee" should complete this form or the Alarm Response Loa. The FE should initial each antry maria Into thk farm ucinn tho fact -i,— 11