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8-22-07;10:23AM;5ACRAMENT0 <br />EMC <br />Site Address: <br />• <br />F-1 <br />916 925 2816 a A- 3 <br />Sacramento Equipment Maintenance Company, Inc <br />Work Order # 126686 <br />Site Address: <br />7/11 #32190Dato <br />4943 South State Route 99 <br />of Teat ng Smvicing: <br />08-21-07 <br />Stoddon, Ca. 95602 <br />209-939A679 <br />D. Results of Testmgf8ervlcmgr <br />Software Version Installed: <br />Yes <br />No <br />N/A <br />Complete the following checklist: <br />Is the audible alarm operational ? <br />Is the visual alarm operational? <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br />interfere with their proper operation? <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <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 sensors initiate <br />positive shutdown? (Check all that apply) <br />Sump/Trench: <br />Dispenser Containment Sensors <br />Did you confirm positive shutdown due to leaks and sensor failure/disconnection? <br />res <br />Nn <br />For tanks systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical <br />overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and <br />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 and <br />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? (Check all that apply) <br />Product <br />Water <br />If yes, describe causes in Section E below. <br />Was monitoring system set-up reviewed to ensure proper settings? <br />Is all monitor ng equipment operational per manufacturer's specifications? <br />(Above shaded boxes need to describe how and when these deficiencies were or will be corrected in Section E below) <br />03/01 county/0000f/state/2-ru=toringmtwpd Page 3 of 6 <br />