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1 0 0 RECEIVED <br />D. Results of Testing/Servicing <br />2014 <br />Software Version Installed: 120.00 <br />Complete the following checklist- ENVIRONMENTAL <br />Yes � No _..larmope._� _. � ... <br />r * Is the audible alarm rational? <br />Yes No* Is the visual alarm operational? <br />r Yesf No* Were all sensors visually inspected, functionally tested and confinned operational? <br />* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their <br />ro r o eration? <br />F Yes F No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />N/A operational? <br />r Yes F No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary <br />Fo N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which <br />sensors initiate positive shut-down? (Check all that apply) <br />Sump/TrenchSensors; FDispenser Containment Sensors. Did you confirm positive shut-down <br />due to leaks and sensor failure/disconnection? <br />Yes; No. <br />F Yes r— No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />F N/A mechanical overfill prevention valve is installed), is the ove�ll warning alarm visible and audible at the <br />tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? <br />F Yes* F No Was any monitoring p <br />�a q ui�ment 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 />Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that <br />apply) F Product, F Water. If yes, describe causes in Section E below. <br />Yes f No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes No* Is all monitoring equipment operational per manufacturer's specifications? <br />* In SectionE below, describe how and when these deficiencies were orwill be corrected <br />E. Comments: <br />Other sensors from page one: <br />L3 Vent Sump 794380-208/ 515989: Certified. <br />L4 Transition Sump 794380-208/ 514107: Certified. <br />L5 - Inside Piping Pan 794390-420/793173 <br />The drop tube is equipped with a mechanical overfill prevention valve. <br />