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07/28/2004 15:22 209-577-6040 BOYETT PETROLEUM PAGE 03/1 <br /> .Its of Testing/Servicing <br /> /are Version Installed: <br /> Q <br /> o lete the followingchecklist; <br /> es ❑ No* is the audible alarm operational? <br /> Yes ❑ No* Is the visual alarm operational? <br /> Yes la 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 ❑ Ifo" if alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> NIA operational? <br /> Yes Cl No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> Cl N/A monitoring system detects a leak, fails to operat °r is electrically disconnected? if yes: which sensors initiate <br /> positive shut-down? (Check all that apply) L5ump/Trench Sensors; ❑ Dispenser�Coninment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? © les; ❑No. <br /> ❑ Yes ❑�Io* 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 think <br /> fill point(s)and operating ro erl ? if so,at what percent of tank capacity does the alarm trigger? <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) El <br /> Product; ❑ Water. If yes,describe causes in Section F below. <br /> es ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set u reports, if applicable <br /> Yes El No* is all monitoringc ui mcnt o erational er manufacturer's s ecifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments- <br /> Page 2 of 3 03101 <br />