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OCT-01-2004 18:37 SERVICE STATION SYSTEM 408 971 0135 P.05 <br /> Monitoring System Certification-p;.,,2 of 3 <br /> Site Address: 1804 West 11Th. Street @ Corral Hallow Date of Testing/Servicing: 9/2104 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 123.00 <br /> Complete the following checklist: <br /> I es 0 No* Is the audible alarm opeiatioi ? <br /> IN es © o s t e visual a ann operational'? <br /> 8 es p o Were all sensors visua y rnspecte ,tunctionally tested,and confirmed operationa <br /> p es o Were all sensors instal ed at lowest point of sewn ary containment and positioned so that Other equipment we. l <br /> not interfere with their proper operation? <br /> p Yes p o arms are relayed to a remote monnonng station,is all communications equipmentc.g. mo em <br /> N/A operational? <br /> Yes p o or pressurized piping systems,does the turbine—automatically s int down if the piping secondary containment <br /> q 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) g Sump/Trench Sensors; 1N Dispenser ContainmentSensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? N Yes CO No <br /> des p o or tan Systeun5 t at utilize the monitoring system as primary prrary t overfill warning device i.e.no <br /> g NIA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? 1f so,at what percent.of tank capacity does the alarm trigger? 0 <br /> E7 Yes* M No Was any monitoring equipment replaced' If yes,idents _specific sensors,pro es, or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> 9 es p o as iqur oun insi e any sccon 9ry containment systems esrgne as ry systems. tee a that app y) <br /> iN Product; p Water. If yes,describe causes in Section I~, below. <br /> �4 es n o as momtonng system sct-up reviewe to ensure proper settings. (Attachh set-up reports, if applicahle.) <br /> jN Yes p o s a I monitoring equipment operational per manufacturer's specs icatiotu'. <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Regular fill sump had apprx. 3 gallons of fluid but not nigh enough to reach sensor. Removed <br /> fluid and placed sensor at the lowest point. <br /> Removed 3 gallons and placed into a 55 gallon drum on site. <br />