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M onitoring System Certification - Page 2 of 3 <br />S1teAddress: 1987 W. 11th St. <br />D. Resultsof Testing/ Servicing <br />Software Verson I ristalled 329.02 <br />Complete the fdlowina checklist: <br />JUL 2 0 2016 <br />Dateof-IeEking/teivicing- - 6121116 <br />® Yes <br />❑ No* <br />Is the audiblealarm operational? <br />m Yes <br />❑ No* <br />Isthevisuai alarm operational? <br />® Yes <br />❑ No* <br />Were ai I sensors vi seal l y inspected, fundi oral I y tested, and conf i rmed operati onal? <br />® Yes <br />❑ No* <br />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 />it Yes <br />❑ No* <br />If al am ere rel ayedtoarenotemonitonrig station, isalI communications; equiprnent(e.g_ modern) <br />❑ N/A <br />operational? <br />® Yes <br />❑ No* <br />For pressurized piping systems, does the turbinea.rtomatical ly shut down if the pi pi ng secondary containment <br />❑ N/A <br />monitoring system detects leak, f ai I s to operate, or is electrically disconnected? If yes which sensors initiate <br />positive shut -down? (Check art that apply) ® SumplTrench Sensors; ® Dispenser Containment Sensors <br />Did you confirm positive shut -down due to leeks and sensor failureldisconnedion? s Yes ❑ No <br />s Yes <br />❑ No* <br />For tank systems that uti I ize the monitoring system asthe primary tank overfill warning device (i.e no <br />❑ N/A <br />mechanical overfill prevention valve isinstalIed), istheovefiII warning alarm visible and audiblaat thetank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90 % <br />❑ Yes* <br />m No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes or other equipment replaced <br />and list the manufacturer name and model for ail replacement parts in Section E, below. <br />❑ Yes* <br />a No <br />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 E, below. <br />® Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set-Lp report4 if icable. <br />® Yes <br />I ❑ No' <br />I Isail monitoring equipment operational per manufacture'sspecifications? <br />* I n Section E below, describe how and when these deficiencies were or will beoorrected. <br />E. Comments Replaced TLS Battery for PM Purposes. <br />Regular Has Two Turbines, each Turbine has an 8484 Electronic PLLD. <br />Diesel and Premium Share Annular Sensor. <br />All Tests Passed. <br />