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011nitoring System Certification 1480 <br /> Site Address 4501 N.PERSHING AVE. Date of Testing/Service: 10/10/2011 <br /> @ ROSEMARIE LN. <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 327.04 <br /> Complete the following checklist: <br /> rE] Yes <br /> No• Is the audible alarm operational? <br /> ❑NO• Is the visual alarm operational? <br /> No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ❑No' 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 /> No• x N/A 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 /> ❑No' ❑N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) ❑x Sump/Trench Sensors; ❑x Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑x Yes No <br /> ❑ Yes E]No' �X N/A For tank 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 points(s)and operating <br /> properly? If so,at what percent of tank capacity does the alarm trigger? <br /> ❑ Yes- x❑No Was any monitoring equipment replaced?If yes, identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E, below. <br /> x] Yes* ❑No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> ❑x Water. If yes,describe causes in Section E,below. <br /> ❑ Yes ❑No• Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports, if applicable. <br /> Q Yes ❑No• Is all monitoring equipment operational per manufacturers'specifications? <br /> In Section E below,describe how and when these deficiences were or will be corrected. <br /> E. Comments: <br /> WATER IN B 7,&91 )PUMPED OUT ATOTAL OF 600 MLS. <br /> Page 2 of 3 Based on CA form dated 03108 <br />