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Monitoring System Certification - Page I,of 3 <br />Site Address: 10858 Trinity Pkwy @ Scott Creek Dr. Date of Testing;Servicing: <br />12111109 <br />1). Results of Testing / Servicing <br />tioftware.Version installed• <br />COm lete <br />the rouo <br />inp. CilecKIISC <br />Is the audible alarm operational'? <br />❑ Yes <br />❑ :No* <br />❑ Yes <br />13 Yet <br />❑ Yes <br />❑ Yes: <br />❑ No* <br />❑'No* <br />❑ No* <br />❑• No* ' <br />Is the visual alarm operational? <br />Were all sensors visually ins ected, functionally tested, and confirmed operational'? <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 />.If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. �tp.odenl) <br />❑ N/Ao <br />erational? <br />For pressurized piping systems. does the turbine automatically shut down if the piping secondary containment <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? if yes: which sellso, initiate <br />positive shut -down? (Check all Mal apply) ❑ Sump'Trench Sensors: ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes ❑ No <br />' For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <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? <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 />Was liquid found inside any secondary containment systems designed as dry systems? (Cheek all dd applrr <br />❑Product; ❑ Water. If yes. describe causes in Section E, below. <br />Was monitorin system set-up reviewed to ensure proper settings? (,4nach sel-up reports. it applicable.) <br />❑ Yes <br />13No* <br />❑ N/A <br />b Nd"" <br />❑ N;A <br />it • •+i i " <br />Ll'Yes <br />:r Dc;• t. <br />❑'Yes* <br />❑ No <br />a <br />❑ Yes* <br />I <br />❑ No <br />❑ Yes <br />D No* <br />❑ Yes <br />❑ No* <br />_ <br />is all monitoring equipment operational per manufacturer's specifications? <br />In :Section E below, describe how and when these deTtciencles were or wm ue rurrrrtru. <br />I, <br />to men6l � sApt <br />