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1 <br />0 e RECEIVED <br />D. Results of Testing/Servicing <br />z 014 <br />Software Version Installed: 120.00 <br />ENVIRONMENTAL <br />Complete the following <br />checklist: <br />F Yes <br />F No* <br />Is the audible alarm operational? <br />F Yes <br />F No* <br />Is the visual alarm operational? � <br />_.__.._._._ <br />_....._ _.:_ _.... . v......_. <br />Yes <br />No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />......... <br />� Yes <br />� No * <br />I Were all sensors installed at lowest point of secondary containment and positioned so that <br />P Y p at other equipment <br />will not interfere with their <br />roDer o ration? <br />Yes <br />No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />N/A <br />operational? 1 <br />F Yes <br />F No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary <br />N/A <br />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) 1 <br />Sump/Trench Sensors; F Dispenser Containment Sensors. Did you confirm positive shut-down <br />due to leaks and sensor failure/disconnection? <br />Yes; No. <br />F Yes <br />F No* <br />For tank systems that utilize the monitoring system as the primary tank overfill waming device (i. e. no <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the <br />N/A <br />tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? i <br />_ % <br />_._..._..* <br />F Yes <br />� <br />F No <br />Was an monitoring e�u��mentre_~w...�w._.�...v�._.,__._..._ <br />Y g q p placed? If yes, identify specific sensors, probes, or other equipment <br />—.__r <br />replaced and list the manufacturer name and model for all replacement parts in Section E, below. <br />Yes*___ . <br />. No:m w : <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that <br />apply) r Product, F Water. If yes, describe causes in Section E, below. <br />� Yes_ <br />.. No* <br />as monitoring sY_ stem set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />�'—' Yes <br />No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />*In Section E below, describe how and when these deficiencies were or will 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 />The drop tube is equipped with a mechanical overfill prevention valve. <br />