Laserfiche WebLink
'toring Certification <br /> site Address: 3425 TRACY BLVD Date of Testing/Service: 01/11/2006 <br /> D. Results of Testing/Servicing <br /> Software version Installed: 123.01 <br /> complete the following checklist: <br /> ElYes No* Is the audible alarm operational? <br /> ® Yes No Is the visual alarm operational? <br /> Q Yes El No Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Q Yes ❑No• Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> interfere with their proper operation? <br /> Yes R No° X N/A If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> QX Yes Ej No• N/A monitoring system detects a leak,fails too erste,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) Xf Sump/Trench Sensors; Q Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and.sensor failure/disconnection? [EYes No <br /> Q Yes E]No' ❑N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(Le.:no mechanical <br /> overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating <br /> properly? If so,at what percent of tank capacity does the alarm trigger? 90 % <br /> El Yes* X❑No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> Ej Yes* XO No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> ❑ Water. If yes,describe causes in Section E,below. <br /> ® Yes ®No* Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. <br /> X❑ Yes ❑No* Is all monitoring equipment operational per manufacturers'specifications? <br /> In Section E below,describe how and when these deficlences were or will be coffecled. <br /> E. Comments: <br /> Page 2 of 3 Based on CA form dated 03/01 <br />