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Monitoring System Certification-PA of 3 Site Address: 7910 Sacramento Rd. @ Hammer Lane Date of Testing/Servicing: 6123104 D. Results of Testing l Servicing Software Version Installed: 119.02 Complete the following checklist: g Yes ❑ No* Is the audible alarm operational? 85 Yes p o Is the visual alarm operatio g Yes ❑ o Were all sensors visually inspected, functionally tested, and confirmed operational? M 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? gS Yes ❑ o arms are relayed to a remote monitoring station, is 0 communications equipment e.g. modem) ❑ NIA operational? IN Yes ❑ No* For pressurized piping systems, does the ter ine 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) IN Sump/Trench Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? M Yes ❑No ❑Yes ❑ No For tank systems that utilize the monitoring system as the primary tank overfill warning device i.e,no pq N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly? If so, at what percent of tank capacity does the alarm trigger? 0 % ❑Yes* A 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. ❑ es JN No as aqui oun insi e any secon ry containment systems -esigned as dry systems. (Check all that app y ❑Product; ❑ Water. If yes, describe causes in Section E,below. Yes ❑ o as monitoring system set-up reviewed to ensure proper settings.(Attach set-up reports, if applicable.) 7 7es ❑ o 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: