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Monituring System Certification-Page 2 of 3 <br /> Site Address: 0425 N. Pacific Ave. a Central Ct. Date of Testiva Seavic.iug: 4120/04 <br /> D. Results of Testing/Servicing <br /> Software\version hnstalled: 324.01 <br /> Complete the following checklist: <br /> ®Yes ❑NO is the audible alarm operational? <br /> ®Yes ❑No* Is the visual alarm operational? <br /> ®Yes d No* Were all sensors visually inspected,functionall tested,and confirmed operational? <br /> 9 V es O Nn* Were all sensors mstalled at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> 2 Yes ❑No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g. modem) <br /> ❑ N/A operational? <br /> ®Yes ❑ No* For pressurized piping systems,does the turbine automatically slut down if the piping secondary containment <br /> d N/A monitoring system detects a]oak, fails to operate,or is electrically disconnected? if yea:which gensnrq initiate <br /> positive shut-dowti? (Check all that apply) ®Sump/Trench Sensors; x Dispenser Contailnnent Sensors. <br /> Did you confumpositive shut-down due to leaks and sensor failure/disconnection? 0 Yes ❑No <br /> ®Yen n Nu` Fur tank syslcius drat utillzc die nwnituring sysmm as the primary tank overfill warning device(i.e. no <br /> N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s) and operating ro ern ? If so at what percent of tank capacity does the alarm trigger? 90 % <br /> ❑Yes* a No 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 pasts in Section L•,below. <br /> ❑Yeo* m No Waa liquid found inside any sccondaay containment systems designed as dry systems? (Check all(hat oYY1 U <br /> 0 Product; ❑ Water. If yes,describe causes in Section.F.below. <br /> Yes ❑ No* Was monitoring system set-up reviewed to ensure ro er 'settings'? Attach ser-u re orts, i a lrcable._ <br /> ®Yes ❑ Nu* is ati monitoring equipment operational per mazIn dancer's specifications? <br /> In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: 91 diesel tank is a split tank with one annular. <br /> 417 -vent sump-sensor#974380.208 <br /> 90 39Gd ONI SSS 9EI0LL680b 99:9i b00Z/0Z/90 <br />