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04/10/2013 7: 11AM FAX 192521 1.71 Guadalupe Sanchez ! Ia0002/0015 <br /> Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version installed; 329.01 <br /> Complete the foliowin checklist: <br /> ® Yes ❑ No* Is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> ® Yes C] No* Were all sensors visually inspected,functionally tested,and confuTned operational? <br /> ® Yes ❑ No* Were all sensors umstalled at lowest poini 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 retnote monitoring station, is all communications equipment (e.g., modem) <br /> ® N/A operational? <br /> ® Yes ❑ No* Tor 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) 0 Sump/Trench Sensors; ®Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to Ieaks and sensor failure/disconnection? ®Yes; ❑A. <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 <br /> filI 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* E No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑Product; ❑ Water. If yes,describe causes in Section F,below. <br /> ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> E 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. Comments: <br /> Page 2 of 4 <br />