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JI)L-14-2011 10:57 Service Station Systems 408 938 8888 P.05 <br /> Monitoring System Certification-Page 2 of 3 <br /> Site Address: 6425 N. Pacific Ave. Date of Testing/Servicing: 6120/11 <br /> U, Results of Testing/Servicing <br /> Software Version installed 328.03 <br /> Complete the following checklist: <br /> a Yes Cl No* Is the audible alarm operational? <br /> N Yes 0 No* Is the visual alarm operational! <br /> M Yes O No* Were all sensors visual!y inspected,functionally tested,and confirmed operational? <br /> ® Yes ❑ No* 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 /> N Yes 0 No* if alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modern) <br /> 0 N/A operational'? <br /> a Yes 0 No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A 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 Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconneution'? a Yes ❑ No <br /> a Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> a N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the lank <br /> till int(s)and operating o erl ? if so,at what percent of tank capacity does the alarm trigger? 90 % <br /> a Yes* ❑ 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 parts in Section E,below, <br /> a Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> a Product;a Water. If yes.describe causes in Section E,below. <br /> a Yes 0 No* Was monitoring system set-up reviewed to unsure proper settings? (Attach see-up reports, if applicable.) <br /> a Yes ❑ No" Is all monitoring equipment operational per manufacturer's spceifeations? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Upon arrival found 91-Diesel Annular sensor not at lowest point. Issue corrected -sensor now <br /> at lowest point. <br /> Removed water from 87&91 Fill Sumps,Vent Sump. <br /> Removed Diesel from Dispenser 112&15116. <br /> Replaced Vent Sump Sensor(208). Re-Tested and passed. <br />