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Nionitaing System Cerfiftaflox Site Address: 12133:29Q�BENJAMIN H®LT DR,STOCKTON,CA 95207 Date of Te � c' a� A Results of Testing/Servicing � o�.ware V vision Irastallod:__"s� i�„j Co fete flea folowbg chacklist- to No* Is the audible alam operational? Yes . No* Is the Vimal alarm 22erstionev Yes No* Were all sensors visuell ecce functiongy testa and confirmed erational? Yes . No* Were all sensors installed at lowest point,of secondary containment and positioned so that other equipment will not interfere with their proper eration? Yes No* If alanw are relayed to a remote monitoring station, is all communications equipment (e.g. modem) NIA op er at? Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment NIA monitoring system detects a leak,fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown? (Chack4llthatigWY) lTrenchSensors; .Dispenser ContainmentSensors. Did you confum positive shutdown due to leeks wd sensor failures ' connection? Iff.Yes; No. as No* ' or systems that E the monitoringsystem as the primary t overfillw device (Le. no N/A mechanical overfill prevention valve is installed}, is the overfill waning alarm visible and audible at the tank fill point(s) and er a If so etw hat percent of tank caPacity does the el er? 't.b.46 Yes* No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for ell re lacement arts in Section below. iyY as* No Was hquidfound inside any secondary con ent systems designed as dry systems? (Check all )C3. Product; Water. If as describe causesinSectionE,below. es No* Was ma es os setu reviewed to ensure er s s? * Is allmonit a ent erational otmenufacturees ecifications?? k Ix Seed I&E below,&mribe how=d when these deftbucies were ar'vM be corrected. E. Co e P t�7 51 A T C9 St, o .*, 7`i 4 3 S--0 2-Q�