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Monitoring System Certification C 0"/, <br /> RECEICP............ <br /> VE <br /> D. Results of Testing/Servicing <br /> APR 252017 <br /> Software Version Installed: 333.02 <br /> Complete the following checklist: ENVIRONMENTAL HEALTH <br /> N Yes ❑ No* Is the audible alarm operational? <br /> N Yes ❑ No* Is the visual alarm operational? <br /> N Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? <br /> N 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 /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> N N/A operational? <br /> N Yes ❑ 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) N Sump/Trench Sensors; N Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? N Yes; ❑ No. <br /> N Yes ❑ No* For tank systems that utilize the monitoring system 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 properly? If so,at what percent of tank capacity does the alarm trigger? 90 % <br /> ❑ Yes* N 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 /> N Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ Product; N Water. If yes, describe causes in Section E, below. <br /> N Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable <br /> N Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Small amount of water was found in both diesel STP sumps and the water was removed during <br /> the inspection.Additional the following equipment is connected to the monitoring system: <br /> 1.Veeder Root—794380-304 Sensor monitoring the 87 Piping Sump Annualar <br /> 2.Veeder Root—794380-304 Sensor monitoring the 91 Piping Sump Annualar <br /> 3.Veeder Root—794380-304 Sensor monitoring the Diesel Piping Sump Annualar <br /> 4. Veeder Root—794380-304 Sensor monitoring the 87 Fill Sump Annualar <br /> 5.Veeder Root—794380-304 Sensor monitoring the 91 Fill Sump Annualar <br /> 6.Veeder Root—794380-304 Sensor monitoring the Diesel Fill Sump Annualar. <br /> 7.Veeder Root—794380-304 Sensor monitoring the Under Dispenser Containment#1/2 Annualar <br /> 8.Veeder Root—794380-304 Sensor monitoring the Under Dispenser Containment#3/4 Annualar <br /> 9.Veeder Root—794380-304 Sensor monitoring the Under Dispenser Containment#516 Annualar <br /> 10. Veeder Root—794380-304 Sensor monitoring the Under Dispenser Containment#7/8 Annualar <br /> 11. Veeder Root—794380-304 Sensor monitoring the Under Dispenser Containment#9/10 Annualar <br /> 12. Veeder Root—794380-304 Sensor monitoring the Under Dispenser Containment#11/12 Annualar <br /> 13. Veeder Root—794380-304 Sensor monitoring the Vent Sump Annular <br /> 14. Veeder Root—794380-304 Sensor monitoring the Vent Sump -All additional sensors were tested. <br /> Page 3 of 6 <br />