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Monitoring System Certification-Page 2 of 3 <br /> Site Address: 3725 N.Tracy Blvd. Date of Testing/Servicing: 1125/18 <br /> D. Results of Testing/Servicing <br /> Software Version Installed- 127-04 <br /> Complete the following checklist: <br /> H Yes ❑ No* Is the audible alarm operational? <br /> 0 Yes ❑ No* Is the visual alarm operational? <br /> N Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> 01 Yes ❑ 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 /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g.modem) <br /> P9 N/A operational? <br /> H Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ 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; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Z Yes ❑ No <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> 19 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 pro per!X? If so,at what percent of tank capacity does the alarm trigger? 0 % <br /> 09 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 re2lacement parts in Section E,below. <br /> ❑ Yes* C1 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ Product;❑ Water. If yes,describe causes in Section E.below. <br /> 19 Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? (Attach set-up reports, if applicable.) <br /> 19 Yes ❑ 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 TLS Battery for PM Purposes. <br /> Estops ®Tested & Passed <br /> Replaced Disp.#314 Sensor as it wouldn't shut down the Dispenser-Retested & Passed. <br />