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FEE -04-2009 20:21 Service Station Systems Monitoring System Certification - P?- ? of 3 Site Address: 1804 West 11Th. Street A Corral Hallow ID. Results of Testing / Servicing Software Version lnstalle& Comnlete the following checklist: 408 938 8888 P.04 Date of Testing/Servicing: 12/29/08 vYes ❑ No* Is the audible alarm operational? Yes ❑ No* Is the visual alarm operational? Or Yes p No* Were all sensors visually ins ected, functionalIX tested, and confirmed operational? OYes ❑ Nos Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? 'j' Yes 13 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g_ inodcm) Q N/A o erational? 19 Yes ❑ No* For pressurized piping systems, docs the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If ves: which sensors initiate positive shut -down'? ((;heck all that apply) `RJ, Suinp/Trench Sensors; V Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/disconnection? Yes ❑ No VYes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trier? % ❑ Yes* qNo Was any monitoring equipment replaced? Yves, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ❑ Yes* G�No Was liquid found inside any sLcondary containment systems designed as dry systems? (Check all that apply) ❑ Product. ❑ Water. if yes, describe causes in Section F. below. Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach ser-zt re ports, i a > >licahle. l9 Yes Cl No* is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments;