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11/24/2008 14: 06 2094654988 HMC PAGE 02/04 <br /> 1Vfonitoriti h System Certification. <br /> 4 <br /> D_ Rest lts of Testing/Servicing <br /> Soltwarc`,'crsion Installed: 27.04 <br /> Colin let the folio ing checklist: <br /> NYes 171 No* is the audible alanr 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 ❑ 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 ihofapply) N Sump/Trench Sensors; ®Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/& .onnection? 1Z Yes; ElNo. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> ,13 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 /> El Yes* ® No Was any monitoring equipment replaced? Ifycs, identify specific sensors, probes, or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section F,,, below. <br /> N Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all khat apply) <br /> ❑ Product; ❑ Water, If yes, describe causes in Section 1;,below. <br /> ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable <br /> ® Yes ❑ No* j Is all monitoring equipment operational per manufacturer's specifications? <br /> * 1n Sectinn E below,describe how and when these deficiencies were or will be corrected. <br /> E_ Comrients: Vent Box sensor 208, Small amount of water in sumps pumped out. Alarm history given to iNSP. <br /> Page 2 of � <br />