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oN _RATORS Pilot/Flying.,( -Lodi A517 Ve��ega�d�f�� I/Io�,i-o�t#2 _ IrF - OF SOUTHERN GIIFORNU Daily UST 1 4cmI ' System Check Form • � • � w■w L�^lliMlll \,I��C .�—._____. --- ---- -- --- Rev.Wt 4!2010 I Da T61 If lin Al 1 ' m ❑pm VZren OK I buloslig0 nterworks ❑ FSI' ❑On-going atarm(s l 2 ❑pm Siren OK bulos light terworks AFT _❑ On-going alarrn(s _ 3 am ❑pm iren OK buloslight Printerworks ❑A ❑ On-going alarm(s; _ - , � n OK_ _ I bolos light linter works _ w ❑On-Ong alarrn(s;- 5 m ❑ pm Siren OK All buloslight inter works FW �❑ On-going alann(s; 6 aim ❑ pm Siren OK I bulos light rinterworks r ❑On-going alarm(s;1 _ 7 m ❑ pm Siren OK4�Ajllbulaslight interworks AFM1 _❑ On-going alarms AITV8 ❑ pm OK —los light ter works FN* _❑ On-going alarm(s;- 9 m ❑ pm OK )2fbolos light A, Printer Works 4 _❑ On-Ong alann(s;, - 10 csjJ ❑Om VVIM ren OK buloslight OI Plinterworks I" —❑ On-going alarms; -- 11 ❑Om pmSiren OK AffAltwfosligot ,2rNnterworks ,43'AFW _❑ On-going alarms; — —_ 12 0 ❑Om CPO Siren OK gAlbuloslight CLPtTffiterwAsI* _❑ On-goingalarm(S;, 13 [1 Elm OK I uloslight INZInterworks 1' _❑ On-goingatarm(S;, — 14 Ergm ❑ pm wren OX---❑All bulos light effTS-4t%works fel" _❑ On-going alarm(S; — — 15 4 ff 07m ❑ pm iren OK bulos light _ KkPrmterworks ❑ On-going alarm(,; — —_10 16 -I2 ❑ pm EMRren OK, EMI bulos light ` —.W-P Ie=��F ❑ On-going alarm(SS;;l ❑ On-going alarm( 17 13 am ren OK 1 bulos light nter 18 ❑om K os light ter works ❑ On-going alarm(S; — 19 am ❑ pm jftren OK V Al bulos light_ _Plinterworks AF _❑ On-going alarm(S) 20 ❑ p iren OK I bulos light Printe•works F�r ❑ On-going alarm(S — -- 21 m ❑ pm Siren OK All bulX light iinterworks AFT ❑ On-going alarTn 22 ❑ p iron 0 I bul os light- _rinterworks r ❑ On-going alarm(S;. — — — 23 vn ❑pW VSiren OK II bulos Iigbt terworks FSI* _❑ On-going alarm(S 24 ❑pm ren OKAI bolos light _linterworks Fir ❑ On-Ong alarm(S 25 ❑pm MZSjmn OKAll bulas light nnterworks r _❑ On-going alarrn(s; _ 26 ftUm ❑ n OK 1 tubs light_ interworks hl" ❑ On-going alarm(s;, 27 11 pm OK I bulos light Printerworks F ❑ On-gang alarm(s;� 28 0 pm ren OK _los tightfTdn ter works i+t� _❑ On-going alarm(s;, — P391 ❑pm iren OK I bulos lightterworks Fhl' ❑ On-going alarm(s;,❑pm 'ren O1 bulos light terworks hl* ❑ On-gang alarms❑am ❑pm ❑Siren OK ❑All bolos Gght te works AFRI' ❑ Ongoing alarms; — 'AFN Q ALL FUNCTIONS NORMAL(no current alarms) ^— Irrs&ucGrorrs.Press the alarm test button onthe UST monitoring sysirlm(MS)and record the results urxirtr the"LraffyAf►on#Drfi►g Alistern 7 estResults"col4rrrn.Iff ere are no current alarms,cneck the "AFM box.If an alarm is occurring at the time of the daily MS test,chrtck the"1Drr..goingAlarm(sf box and record the sensor IDN and the alarm panel screen reeding(s)under the W lh.Alarm,.4creen "F I live deeded-.Only a}reined"F:acilit Employee'shoWd complete this form or the Alarm Response Lori.Tho FE should initial each entry made Mo this form using the last column.