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Mosdtoring System Certification <br /> Site Address: W6-- 1250N WILSON WAY,CA 95202 Dnte of Tasting/Servictrsg. sa <br /> D. Results of Testing/Servicing <br /> SoftwareVersionInstalled 7 [�3 <br /> Com she following checklist: <br /> Y + No* Is the audible alarm operational? <br /> No* Is the visual alarm operational? <br /> Y No* Were all sensors visually inspe cted,functionally tested, and confirmed operational? <br /> Yes No* Were all sensors installed at lowest paint of secondary containment and positioned so that other equipnneniwffi <br /> not interfere with their properoperation? <br /> Yes N If alarms are relayed to a remote monitcring station, is all communications equipment (e.g. modem) <br /> A operational? <br /> as No* For pressurized piping systems, does theturbine automatically shutdown if the piping secondary containment <br /> N/A monitoring system detects a leak, fails to operate,gr4atfectrica1y disconnected?jfyes: which sensors initiate <br /> positiveshut-down? (Check all that apply) 1815umpffrmchSensors; Wnspenser Co_9taif=entSensms. <br /> Did you confirm positive shut-down due to leaks=¢sensor failureldisconnection? es; MNo. <br /> * Yes No* systems that utilize the monitoring system as the primary tank overfill waning device (i.e. no <br /> /A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm tri m:? . . . .% <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 modal for all replacement parts in Section F,below. <br /> Yes* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all#Wgp(y)o <br /> I Product; Water. If es,describecauses inSection 1,below. <br /> No's Was monitorin system set-ureviewed to ensure propersettin s? <br /> es No* Is alltnonitofing equipment oerational ermanufacturei s s ecifications? <br /> *In Section E below,iescnle how and when these deficiencies were or willbe corrected. <br /> 1 E. Comments: <br /> i <br /> Page 2 of 3 0321 <br />