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Monitoring System Certification - Page 2 of 3 [ '44EGEIVEL <br />Site Address: 3725 N. Tracy Blvd, FEB 2-7139fifTesting/Servicing: 1129115 <br />D. Results of Testing / Servicing ENVIRONMENTAL <br />1'7�,V-7j r%"�OTRQM'r <br />Software Version Installed. NIA I . . <br />rnmnlptp the fh1inwina rhorkikt! <br />i_N;_es­ <br />0 No* <br />Is the audible alarm operational? <br />M Yes <br />0 No* <br />Is the visual alarm operational? <br />a Yes <br />[I No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />19 Yes <br />0 No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their roper o2eration? <br />0 Yes <br />0 No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />IN N/A <br />operational? <br />0 Yes <br />0 No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />0 N/A <br />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 Sumpqrench Sensors; M Dispenser Containment Sensors, <br />I <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? IN Yes 13 No <br />0 Yes <br />0 No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />M 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 properly? If so, at what percent of tank capacity does the alarm trigger? 0 % <br />0 Yes* <br />0 No <br />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 />0 Yes* <br />I@ 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 />1 0 Yes_j <br />El No* <br />Was monitoring system set -u2 reviewed to ensure proper settings? (Attach set -zip reports, ifapplivable. ) <br />I cc Yes <br />I [I No* <br />Is all monitoring equipment operational per manufacturer's specifications? 7� <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />