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Monitoring System Certification-Page 2 of 3 <br /> L <br /> Site Address: 2701 West March Lane Daj ©� Tffti , irvicing: 12110/16 <br /> D. Results of Testing/Servicing N V!R Q1 k!IM E N <br /> Software Version Installed- 331.00 <br /> Complete the foliowin checklist: <br /> 0 Yes 0 No* Is the audible alarm operational? <br /> M Yes 0 No* Is the visual alarm operational? <br /> N Yes 0 No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> 0 Yes 0 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 /> 0 Yes 0 No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> 0 N/A operational? <br /> 0 Yes 0 No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> 0 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 that apply) 0 Sump/Trench Sensors; n Dispenser Containment Sensors. <br /> i Did you confirm positive shut-down due to leaks and sensor failure/disconnection? W Yes 0 No <br /> 111 Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> 0 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 capaci!X does the alarm triger? 90 % <br /> W Yes* 0 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 /> a Yes* [3 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> 0 Product;a Water. If yes,describe causes in Section E,below. <br /> NO Yes 0 No* Was monitoring system set-up reviewed to ensure proper settings? (Attach set-up reports, ff <br /> -epplicableJ <br /> R Yes 0 No* Is all monitoring equipment operational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Replaced Battery on TLS for PM Purposes. <br /> Removed appx 12 oz of liquid from Diesel and Prem STP Sumps. <br /> Replaced Disp#9110(Regular)Bravo Float due to water in float and not working. Retested& <br /> Passed. <br /> Adjusted Disp#112(91)float chain- Retested &Passed. <br />