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.4b <br />Monitoring System Certification <br />SS4:^� 2186: 3212 N CALIFORNIA, STOCKTON, CA 95204 1 Date of Testing/SeMcing: ,10112/2Q05 <br />D. Results of Testing/Servicing <br />,Software Version Installed: I A -j . D Z <br />Complete the followinE checklist: <br />Yes <br />N o * <br />Is the audible alarm operational? <br />Yes <br />No* <br />Is the visual alarm operational? <br />es <br />No* <br />Were all sensors visually inspected, functiondly tested, and confirmed operational? <br />es <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 />NIA <br />operational? <br />Yes <br />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 leaf fails to operate, or is;,lectrically disconnected? If yes: which sensors initiate <br />positive shutdown? (Check all that apply)5`ump/Trench Sensors; jjDispenser Containment Sensors. <br />Did you confirm positivif shut -down due to leaks y& sensor fidure/disconneetion? Acne; SNo. <br />Yes <br />No* <br />For tank systems that utilize the monitoting system as the primary tank overfill arcing device (r.e. no <br />NIA <br />mechanical overfill'preventim valve is installed), is the overfill warning alarm visible and audible at the tank <br />b <br />fill oin s and operating prop ed If so at what percent of tank capacity does the alarm trigger? .... % <br />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 pans in Section below. <br />Yes* <br />No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all Ok t;" <br />Product; 0 Water. If yes, describe causes in Section below. <br />Yes <br />No* <br />Was monitoring system s etup reviewed to ensure Etoper settings? <br />, No* <br />Is all monito!t& e mentoperational per manufacturer's ecifications? <br />* In Section E below, describe hew and when these deficiencies were or will be corrected. <br />E. Comments: <br />Pae 2 of 3 0391 <br />