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RPR -27-2006 07:09 Service Station Systems 408 938 eeee P.05 <br />Monitoring System Certification - Pa,- .4 of 3 <br />Site Address: 6426 N. Pacific Ave. Cm. Central Ct. Date of Testing/Servicing: 4110/06 <br />D. Results of Testing / Servicing <br />Software Version Installed 924.01 <br />Cmmnlefe the fnllnwino checklist: <br />M Yes <br />0 No* <br />Is the audible alarm op emtional? <br />a Yes <br />0 No* <br />Is the visual alarm operational? <br />M Yes <br />0 No* <br />Were all sensors visually inspected, functiortally, tested, and confirmed operational? <br />M Yes <br />0 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 />a Yes <br />0 No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />0 N/A <br />operational? <br />a Yes <br />Cl No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />0 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) a Sump/Trench Sensors; a Dispenser Conlaimnem Setl9erS. <br />Did you confirm sitive shut -down due to leaks and sensor failure/disconnection? to Ycs ❑ No <br />M 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 N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fillpoint(s) and operating rorl ? if so, at what percent of tank capacity does the alarm trigger? 90 % <br />0 Yes* <br />a 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 />M Yes* <br />0 No <br />Was liquid found inside my secondary containment systems designed as dry systems? (Check all that apply) <br />0 Product; a Water. If yes, describe causes in Section E, below. <br />M Yes <br />0 No* <br />Was monitorin stern set --up reviewed to ensure proper sett( p? (Attach set-up reports, i a licable. <br />M Yes <br />0 No* <br />Is all monitorin a ui memo erational Per manufacturer's ecifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: Found water in 91 fill and 87 stp. Removed <br />External overfill# 790091-001 <br />