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Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 326.01 Complete the following checklist: 0 Yes ❑ No* is the audible alarm operational? M Yes ❑ No* Is the visual alarm operational? ❑ Yes 2 No* Were all sensors visually inspected, functionally tested,and confirmed operational? 0 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? ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) 0 N/A operational? ❑Yes 0 No* For pressurized piping systems, does the turbine 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) ❑Sump/Trench Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes; ❑No. 10Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s)and o eratingro erly- If so, at what percent of tank capacity does the alarm trigger? 90 ❑ Yes* M 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. [71Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑Product; ❑ Water. If yes,describe causes in Section E,below. 0 Yes ❑ No* Was monitoring system set-up reviewed to ensure pro er settings?Attach set up reports, ifapplicable ❑ Yes M No* 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: L2 Diesel 1 STP Sump Brine Sensor - 304 L4 Diesel 2 STP Sump Brine Sensor - 304 L6 Diesel 1 Fill Sump Brine Sensor - 304 L8 Diesel 2 Fill Sump Brine Sensor - 304 L11 Vent Sump Sensor - 208 L12 Vent Sump Brine Sensor - 304 L14 Dispenser 13 Brine Sensor - 304 L16 Dispenser 14 Brine Sensor - 304 L18 Dispenser 15 Brine Sensor - 304 L20 Dispenser 16 Brine Sensor - 304 L22 Dispenser 17 Brine Sensor - 304 L24 Dispenser 18 Brine Sensor - 304 UN-036-2/4 Page 2 of 5 Rev.06/M/nl www.iinidocs.org