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DEC-23-2004 12:47 SERVICE STATION SYSTEM 408 971 0135 P.04 <br /> Monitoring System Certification- _ae 2 of 3 <br /> 10 <br /> Site Address: 7700 Moreland Ct. @ Hwy. 99 Date of Tcsting/Servicing: .A'13%04 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 119.02 <br /> Complete the following checklist: <br /> Yes ❑N0 Is the audio a alarm operational? <br /> fYes7es ❑ o s t e visua arm operitiona es ❑ U ere a sensors visua y inspecte unctiona y teste ,an co Trine n operatioq INTO ere all sensors uist at lowest point of secon ary containment an positioned so that other equipment will <br /> not interfere with their proper operation? <br /> es ❑ No If alarms are relayed to a remote monitoring station, is all communications equipment e.g. modern) <br /> 1�/A operational? <br /> ,&— p o or pressurized piping systems, does the turbine automaitc ly shut down the piping secondary containment <br /> (/ TI/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) p-!�Tmip/Trench Sensors; ❑Dispenser Containment SeirsOrs. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 Yes ❑No <br /> ❑ws ❑ o"` For tank systems that utilize the monitoring system as the primary tank oveTfill warning device(i,c,no <br /> 0 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? % <br /> p <br /> Yes* jo 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 /> ❑ es o Was liquid foundinside any secondary containment systems designed as d6 systems. (Oieck all t fat app y) <br /> Q product; p Water. If yes,describe causes in Section E, below. <br /> es ❑ o as momtormg system sct-up reviewed to ensure proper settings'. (Attach set-up reports, if applicable.) <br /> 7S ❑ o s all monitonng equipment operational per manufacturer's speer rcations. <br /> *In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> 1 <br />