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E <br />Monitoring System Certification - Page 2 of 3 <br />,7 <br />Site Address: 401 W. Kettleman Ln. Date ofTesting/Servicing: 2/18114 <br />D. Results of Testing / Servicing <br />Software Version Installed- 122.00 <br />m ' <br />o 11 "" <br />the Will) <br />— <br />lily, vilrumul 1'. <br />is the audible alarm operational? <br />• Yes <br />0 No* <br />• Yes <br />0 No* <br />Is the visual alarm operationa 19 <br />• Yes <br />13 No* <br />Were all sensors visually insi functionally tested, and confirmed operational? <br />WRY e,-;' <br />13 No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their pro2er operation? <br />0 Yes <br />0 No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g, modem) <br />11 N/A <br />operational, <br />0 Yes <br />0 No* <br />For pressurized piping systems, does the turbine automatically shutdown if the piping secondary containment <br />13 N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected9 if yes: which sensors initiate <br />positive shut -down? (Check all that apply) 0 Sump/Trench Sensors; a Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure,/disconnection? N Yes 0 No <br />U Yes <br />0 No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />IN N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating pro erly? If so, at what percent of tank capacity does the alarm trigger? 0 % <br />® Yes* <br />0 No <br />Was any monitoring equipment replaced7 if yes, identity 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* <br />0 No <br />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, below. <br />Yes <br />0 No* <br />Was monitoring system set-up reviewed to ensure proper settings9(Attach s el -W re arta, jLapplicable.2 <br />0 yes <br />1 0 No* j- <br />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: <br />