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Monitoring System Certification- Pag of 3 <br /> Site Address: 6131 Pacific Ave. @ Porter Date of Testing/Servicing: 09/19/01 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 119.02 <br /> Complete the follo ing checklist: <br /> ®Yes ❑ No* Is the audible alarm operational? <br /> ®Yes ❑ No* Is the visual alarm operational? <br /> ®Yes ❑ No* Were all sensors visually 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 /> ®Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem) <br /> ❑ N/A operational? <br /> ®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) ®Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ®Yes ❑No <br /> ❑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? 0 °Io <br /> ❑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 /> ❑Yes* ® No 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 /> ®Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up re ons, if applicable.) <br /> ®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: Reg tank out of fuel.Tested sensors on regular but could not verify positive shutdown. <br /> Returned on 9/19 and completed certification on reg, all ok. <br />