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Monitoring System Certification _ Pa*0 f 3 0 <br /> Site Address: 7910 Sacramento Rd Date of TestinIServicin Hammer Lane g g: 01125/02 <br /> D. Results of Testing 1 Servicing <br /> Software Version Installed, 119.02 <br /> Com fete the following checklist: <br /> ®Yes ❑ No* Is the audible alarm operational`? <br /> ®Yes ❑ No* Is the visual alarm operational? <br /> 19 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 /> m Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem) <br /> ❑ NIA 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 /> t 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 ❑No <br /> Yes iiNo* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.no <br /> C9 NIA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> 0 <br /> fill point /o <br /> s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 0 <br /> ❑Yes* 0 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 /> 9 Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? (Attach set-upreports, i applicable.) <br /> ®Yes ❑ No* 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: <br />