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' 1p- 2-05;12:00PM;Sacremento .Mc ;sib 3252816 # 3i <br />Sacramento Equipment Maintenance Company, Inc <br />Work Order # 122462 <br />Site _kddress: <br />7/11 #19976 <br />Date of Testing/Servicing: <br />! Is the audible alarm operational ? <br />X <br />1399 North Main. Street <br />s the visual alarm operational? <br />X <br />r <br />Manteca, Ca. 95335 <br />X <br />209-239-3252 <br />" X <br />D. Results of Testing/Servicing; <br />,TSoftware Version Installed: 119 <br />Yes <br />No <br />NIA Complete the following checklist: <br />X <br />! Is the audible alarm operational ? <br />X <br />s the visual alarm operational? <br />X <br />r <br />+ Were all sensors visuaEy inspected, functionally tested, ane confirmed operational? I <br />X <br />Were all sensors installed at loaves* point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation? <br />" X <br />if alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? <br />A <br />� <br />B <br />� For przss.irized piping systems, does the turbine automatically shut down if the piping secondary zontaimnen. <br />monitoring system detects a leak, fails to operate, or is elec rically disconnected? If yes: which sensors initiate <br />` positive shutdown? (Check all that apply) <br />X <br />Sump/Trench: <br />X Dispenser Containment Sensors <br />Did you confirm positive shutdovrn due to leaks and sensor failure/disconnection? <br />Yes <br />No <br />k <br />X <br />{ For tanks systems that utilize the TMonitoring system as the primary tznk overfill warning device (i.e. no <br />" mechanical overfill prevention valve is installed), is the overfill warring alarm visible and audible at the tank fill <br />point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes or other equipment replaced <br />and list the manufacture: name and model for all replacement parts in Se'. -tion E below, <br />X <br />"A,as liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />rTProducti <br />ater <br />If yes, describe causes in Section E below. <br />XWas <br />moi;itoring system set-up reviewed to ensure proper settings? <br />X <br />f <br />Is all monitoring equipment operational per manufacturer's specifications? <br />(,d d bc�e5 neen io c ;esion . 0 how ane when these deficxencies were orryill be corrected �n Section E b�lovr) . . <br />E. Ct??3mer!ts° Repiaced mother boa -id reinstall original software reprogiarmned and te,ted with county all ok <br />03/01 <br />county/0000:`.istate/2-monitoringcert.wpd <br />Pagc 2 oF5 <br />