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Technician Name (print): David A. Winkler Signature: Certification No.: 34975 License No: OTT 08-1739 Testing Company Name: AFFORDA-TEST Phone No. (209) 744-0113 Testing Company Address: 416 2 STREET GALT, CA 95632 Date of Testing/Servicing: 7-19-2011 Monitoring System Certification Pagel of 4 2/21/07 D. Results of Testing/Servicing Software Version Installed: 328.01 mom iece me Yonownim cnescnua.. ® Yes ❑ No* Is the audible alarm operational? ® Yes ❑ No* Is the visual alarm operational? ® Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? ® N/A ® Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a ❑ N/A leak, fails to operate, or is electrically disconnected? If yes: —which sensors initiate positive shut -down? (Check all that apply) Sumplrrench Sensors; ® Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ® Yes; ❑ No. ® Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention valve is ❑ N/A installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90% ❑ 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 all replacement parts in Section E, below. ® Yes* ❑ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; ® Water. If yes, describe causes in Section E, below. ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable ® Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: aris on site has all print outs water in sumps cleaned out. had to purge to get 87 w gild to pass