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Monitoring System Certification <br /> SS#: __ 16080:85 E LOUISE AVENUE,LATHROP,CA 45330 J Date of Testing/Servicing- 110/13/2005 <br /> D. Results of Testing/Servicing <br /> Software Version lnstaUed: <br /> Com lete the followchecklist: <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 eration? <br /> Yes No* If alarms are relayed to s remote monitoring station, is all communications equipment (e.g. modem) <br /> NIA operational? <br /> Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> NIA 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;,�DispenserContainment Sensors. <br /> Did you confirm positive shutdown due to leaks And sensor failureldiseormection? Yes; MHO. <br /> Yes No* For tank systems that utilize the monitoring system as the primary tank ove%M warning device (i.e. no <br /> NIA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audi§q,�Lt the tank <br /> fill point(s) and o eratin properly? If so at what percent of tank c!Eacity does the alarm tri er?'10..% <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 Oute p(,) <br /> Product Water. If yes, deembe causes in Section below. <br /> Yes No* Was monitoringsystem set-up reviewed to ensure a er settings? <br /> Yes No* Is all monitoringa mento erational per manufacturer's specifications? <br /> t <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: d. �1 � � 9t'xa�ac.✓a's�,ec� � _ , ,, s .►+t , �I <br /> i <br /> i <br /> i <br /> I <br /> i <br /> i <br /> page 2 0 3 03,01 <br />