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Monitoring System Certification • • �� D. Results of Testing/Servicing Software Version Installed: 326.01 Complete the following checklist: NX Yes ❑ No* Is the audible alarm operational? XN Yes ❑ No* I Is the visual alarm operational? ❑ Yes ❑X No* I Were all sensors visually inspected,functionally tested, and confirmed operational? XN 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) N N/A operational? I]Yes ❑ 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) NX Sump/Trench Sensors; N Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? NX Yes; ❑No. NXYes ❑ 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 operating properly'? 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. NX Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) NX Product; NX Water. If yes,describe causes in Section E,below. NX Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable 11Yes NX No* 1 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 — 420 L4 - Diesel 2 STP Sump Brine Sensor - 420 L6 - Diesel 1 Fill Sump Brine Sensor - 420 L8 - Diesel 2 Fill Sump Brine Sensor - 420 L11 - Vent Sump Sensor - 208 L12 - Vent Sump Brine Sensor - 420 L14 - Dispenser 13 Brine Sensor - 420 L16 - Dispenser 14 Brine Sensor - 420 L18 - Dispenser 15 Brine Sensor - 420 L20 - Dispenser 16 Brine Sensor - 420 L22 - Dispenser 17 Brine Sensor - 420 L24 - Dispenser 18 Brine Sensor - 420 L7 - Diesel 2 Fill Sump Sensor 208 does not alarm - need to replace DN-036-2/4 Page 2 of 4 Rev.06/04/01 w .unidocs.org