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1.i Monitoring System Certification-Page 2 of 3 Site Address: 610 S.Cherokee Ln. Date of Testing/Servicing: 10/25/16 D. Results of Testing/Servicing Sofhvare Version installed. 333.04 Complete the foliowin checklist: ® Yes ❑ No*''I Isthe audible alarm`o etational7 - - - - - -- ®Yes ❑ No* Is the visual nlarto o eiationall ® Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ❑ Yes 0 No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) is N/A o ® Yes (3 No* p ed piping systems,does the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate positive shut-down?(Check all that apply) ® Sump/Trench Sensors; 0 Dispenser Containment Sensors. Did you confirm ositive shut-down due to leaks and sensor failure/disconnection? 0 Yes ❑ No ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no ® N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fillpoint(s)and operating properly? If so,at what erten[of tank capacity does the alturn trigger? 0 % E3 Yes* 0 No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑ Ycs* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product;0 Water. If yes,describe causes in Section E,below. ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach sel-up reports, i a likable. ® Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: Replaced TLS Battery for PM purposes. 87& 91 are split tanks and share Annular.