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Monitoring System Certification - Page 2 of 3 <br />Site Address: 1987 W. 11th St. <br />D. Results of Testing / Servicing <br />Software Version Installed. 329.02 <br />("nrnnh*te thN fn1inwina rheekikt! <br />RECENED <br />Date of Testing/Servicing <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />M Ycs <br />❑ No* <br />Is the audible alarm operational? <br />® Yes <br />❑ No* <br />Is the visual alarm operational? <br />® Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <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 />® Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />❑ N/A <br />operational? <br />® Yes <br />0 No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />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; ® Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? 0 Yes ❑ No <br />❑ Yes <br />0 No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />® N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 0 % <br />0 Yes* <br />® 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 all replacement parts in Section E, below. <br />® Yes* <br />❑ 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 />0 No* <br />Was monitoring system set-up reviewed to ensure proper settingys? (,Attach sel- tip reports, i a licable. <br />® Yes <br />0 No* <br />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: Monitor Certification performed for Permit Final due to Relay Replacement. Tested all <br />Dispenser Sensors, 87 STP Sump Sensor, Sensor Out & Fail Safe. <br />Removed liquid from 87 & 91 STP Sumps & Dispenser # 112, 718,13114,15/16,17118 & 19/20. <br />