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iitoring System Certification <br /> Site Address: 2448 W KETTLEMAN LN Date of Testing/Service: 06/06/2005 <br /> @ LOWER SACRAMENTO RD <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 122.00 <br /> Complete the following checklist: <br /> x Yes No' Is the audible alarm operational? <br /> Q Yes ❑No' Is the visual alarm operational? <br /> ❑x Yes No' Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> 0 <br /> Yes 1:1 NoWere all sensors installed at lowest point of secondary containment and positioned so that other equipment will not' <br /> interfere with their proper operation? <br /> Yes allo' X N/A If alarms are relayed to a remote monitoring station,is all communications equipment(e.g. modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑x Yes ❑No ❑N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) x❑ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑x Yes ❑ No <br /> ❑ Yes ❑No ❑x N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.: no mechanical <br /> overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating <br /> properly? If so,at what percent of tank capacity does the alarm trigger? <br /> ❑X Yes' ❑No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E, below. <br /> ❑x Yes' ❑No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> ❑x Water. If yes,describe causes in Section E,below. <br /> ❑x Yes ❑NoWas monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. <br /> ❑x Yes ❑No' Is all monitoring equipment operational per manufacturers'specifications? <br /> 'In Section E below,describe how and when these deficiences were or will be corrected. <br /> E. Comments: <br /> REPLACED LECK DETECTOR ON 87(FX1V),ALSO REPLACED SENSOR (208)ON 87 STP AS WELL.A LITTLE WATER WAS IN <br /> ALL SUMPS, SO I PUMPED IT OUT AND DISPOSED IT IN HAZARDOUS WASTE DRUM AT SITE. <br /> Page 2 of 3 Based on CA form dated 03/01 <br />