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Facility Name: Costco##658 Tracy (Page 2) <br /> D. Results of Testing/Servicing <br /> Complete the followin checklist: <br /> Software Version Installed: 424.01 <br /> 0 Yes ❑ No* Is the audible alarm operational? ® Deafening? (Outside Alarm) <br /> E Yes ❑ No* Is the visual alarm operational? <br /> E Yes ❑ No* Is the print function operational? <br /> Z Yes ❑ No* Were all sensors visually inspected, functionally tested,and confirmed operational? <br /> ®Yes ❑ No* 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 /> Z Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ❑ N/A operational? <br /> ® Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br /> positive shutdown? (Check all that apply) ® Sump Sensors; ® Dispenser Containment Sensors. <br /> Did you confirm positive shutdown due to leaks and sensor failure/disconnection? (E Yes; ❑No. <br /> ® Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device, is the overfill <br /> ❑ N/A warning alarm visible and audible at the tank fill point(s) and operating properly? At what percent of tank <br /> capacity does the alarm trigger? 90% <br /> ❑ Yes* ® No 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* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑Product; ❑ Water. If yes,describe causes in Section E,below. <br /> Yes ❑ No* Was monitoring system set-up reviewed to ensure pro2er settings?Attach set up reports,if applicable <br /> X Yes ❑ No* I Is all monitorin a ui mentoperational per manufacturer's specifications? <br /> F. Comments: No Deficiencies. The facility is in compliance. <br />