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Mar.28. 2014 2:49PM Donlee Pump Co. <br />Monitoring System Certification <br />. Results of Testing/Servicing <br />Software Version Installed: <br />Complete the following rheeklist: <br />No. 6948 P. 3 <br />Yes <br />❑ No* <br />Is the audible alarm operational? <br />yes <br />❑ No* <br />is the visual alarm operational? <br />Yes <br />0 No* <br />Were all sensors visually inspected, irunedonally tested, and confirmed operational? <br />Yes <br />❑ No's <br />Were all sensors installed at lowest point of secondary containment and positioned so that other eclui.pment will <br />not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />if aJams are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br />[�'N/A <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containme.ot <br />❑ N/A <br />monitoring system detects a leak, fails to opera is electrically disconnected? if yes: -wbicb sensors initiate <br />positive shut -down? (Check all that apply) Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ( les; ❑ No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i,e., no <br />[/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly? 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 patts in Section E, below. <br />Yes* <br />2Ko <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; ❑ Water. If yes, describe causes in Section E, below. <br />❑ No* <br />Was rrmonitol7ng system set -rip reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />❑ No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe flow and when these deficiencies were or will be corrected. <br />E. Comments, <br />LIN -036 — 3/6 Rev. 01/17/08 <br />