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EMC ;916 9252616 # 3/ 5 <br /> t-15-03; 2:31 Pm;Sec Tamen to <br /> Sacramento Equipment Maintenance Company,Inc Work Order#110002 <br /> Site Address: Tracey Maintenance Station Date of Testing/Servicing: 11.27-02 <br /> 24081 Mountain House Parkway <br /> Tracey,Calif 95376 <br /> D. Results of Testing/Servicing: <br /> Software Version Installed: <br /> Yes No N/A Complete the following checklist: <br /> X Is the audible alarm operational? <br /> X Is the visual alarm operational? <br /> X Were all sensors visually inspected,functionally tested,and fumed operational? <br /> X 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 /> X If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> X 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 /> r <br /> Sump/Trench: Dispenser Containment Sensors <br /> [o leaks and sensor failure/disconnection? Yes No <br /> Did you confirm positive shutdown due <br /> X For tanks systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill <br /> point(s)and operating properly? Iff so,at what percent of tank capacity does the alarm trigger? % <br /> X Was anist the manufacturer equipment <br /> ae lmd 1 f r all replacement ificparts in Section E below.robes therand equipment replaced <br /> I. X 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 /> I' X Was monitoring system set-up reviewed to ensure proper settings? <br /> X Is all monitoring equipment operational per manufacturer's specifications? <br /> (Above'shaded boxes need to describe hdw and when these deficiegeies were or wilt be corrected in Section E below) <br /> F. Commentgo <br /> 03/01 county100DN1s,e/2-=ritudngc wpd Page 2 of 4 <br />