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MAY -23-2012 11:11 Service Station Systems 488 938 8888 P.08 <br />Monitoring System Certification - Page Z of 3 <br />Site Address: 10858 Trinity Pkwy Date of Testing/Servicing, 511112 <br />D. Results of Testing / Servicing <br />Software Version Installed• 329.01 <br />Cmmnloto the fnHnwino checklist: <br />p Yes <br />n No* <br />Is the audible alarm o rational'? <br />❑ Yes <br />® No* <br />Is the visual alarm operational? <br />❑ Yes <br />it No* <br />Were all sensors visually ins ected, functionally tested, and confirmed operational? <br />13 Yes <br />H No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation? <br />❑ Yes <br />p No* <br />if alarms arc relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />® N/A <br />operational? <br />0 Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />a N/A <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 Sensors, ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes C1 No <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />M N/A <br />mechanical overfill prevention valve is installed), is the overfill warning, alarm visible And audible at the tank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger'? 0 % <br />Yes* <br />IS No <br />Was any monitoring equipment replaced'? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />C1 No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that appdv) <br />❑ Product; Q Water, if yes, describe causes in Section E, below. <br />I] Yes <br />® No* <br />Was monitoring system sct-uR reviewed to ensure proper settings? Attach sa—up eq orm d 'a licable. <br />© Yes <br />0 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: On site to complete the Diesel LLD and retest the SS Vac sensor only after Diesel repair <br />All other Testing completed by Tanknology on a previous date. <br />