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NOW `we <br /> Site Address: 2500 W. Turner Rd. Date of Testing/Servicing: 5 / 17 / 12 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: NIA <br /> Complete the following checklist: <br /> • Yes ❑ No* Is the audible alarm operational? <br /> • Yes ❑ No* Is the visual alarm operational? <br /> • Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> • Yes ❑ No* 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 /> • Yes ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> ❑ NIA <br /> ❑ Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> 0 NIA monitoring system detects a leak,fails to operate,or is electrically disconnected?if yes:which sensors initiate <br /> positive shut-down?(Check all that apply) ❑ Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes; ❑No. <br /> • Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no <br /> ❑ N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill <br /> point(s)and operating properly?If so,at what percent of tank capacity does the alarm trigger?90% <br /> ❑ Yes* ® No Was any monitoring equipment replaced?If yes, identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> • Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems?(Check all that apply) <br /> ❑Product; U Water. If yes,describe causes in Section E,below. <br /> Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach setup reports,if applicable <br /> Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> * In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comment <br /> This tank has two turbines that feed day tank.Mopped out small amount of water from sump. <br /> Page 2 of 3 03/01 <br />