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FEB 17 2016 <br /> Monitoring System Certification- Page 2 of 3 ENVIRONMENTAL <br /> HCAIrw nroln—er"— <br /> Site Address: 2808 Country Club Blvd. Date of Testing/Servicing: 1/19/18 <br /> D. Results of Testing/Servicing <br /> Software Version Installed 327.04 <br /> Complete the following checklist: <br /> ® Yes O No' Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> 19 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 /> Ill Yes ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> O N/A operational? <br /> ® Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A 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; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ® Yes ❑ No <br /> to 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 <br /> fill int(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 90 % <br /> ❑ Yes* l9 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;D Water. If yes,describe causes in Section E,below. <br /> ® Yes ❑ No' Was monitoring system set-upreviewed to ensure roper settings? Attach set-upreports, i applicable.) <br /> ® Yes 0 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. Comments: Replaced TLS Battery for PM purposes. <br /> 89 & 91 are split tanks and share Annular. <br />