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DEC-26-2007 13:25 Service Station Systems 408 938 8888 P.03 <br /> Softwarc version installed: 3 <br /> copeete the followin checklist: <br /> Wis the audible alarm o erational? <br /> Is the visual alarm Operational? <br /> Were all sensors visual) ins ceted,functional) tested,and confirmed o rational? <br /> Were all sensors installed at lowest paint of secondary containment and positioned so that other equipment will <br /> not interfere with their er o ration? <br /> if alarms arc relayed to a remote monitoring station, is all communications equipment (e.g. )modem) <br /> O N/A operational? <br /> Yes ® No* For pressurized piping systems,does the turbine au uatically shut down if the piping secondary containmment <br /> Cl N/A monitoring system detects a leak,fails to opera ,oris electrically disconnected? If yes: ch sensors initiate <br /> positive shut-clown? (Check all that apply) Sump/Trencb Sensors, Q Dispenscr ` tainment Sensors. <br /> Di ou confirm ositive shut-down due to leaks and sensor failurc/disconnection? Yes; ®No. <br /> Yes ® No* kor tank systems that utilize the monitoring system as the primary tank overfill warning device (i;e. no <br /> Q N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> f int(s) and. operating properly? If so, at what percent of Lair), 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 arts in Section E below. <br /> ® Yes* No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> 0 product; 0 Water. If yes,describe causes in Section E,bclaw. <br /> 9s 13 No* Was monitorin s stem set-up reviewed to ensure Proper settings?Attach set tip rcpots,if applicable <br /> Yec ui meat o tional ger manufacturer's cifrcations? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E, Comments' <br /> Page 2 of 3 03/01 <br />