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'Monitoring System Certification <br />111111111!1111111lill lriji!111111111111111,� <br />1-1110 L1 N I 1 111 . I I I . 114 <br />Software Version Installed: 329.01 <br />rnmnlpte the Mlinwina rhP.PkIld! <br />• Yes <br />E] No* <br />Is the audible alarm operational? <br />• Yes <br />El No* <br />Is the visual alarm operational? <br />0 Yes <br />E] No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />Z Yes <br />El No* <br />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 />0 Yes <br />El No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br />Z N/A <br />operational? <br />* Yes <br />El No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />[I 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) Z Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br />I Did you confirm positive shut -down due to leaks and sensor failure/disconnection? Z Yes; E] No. <br />* Yes <br />0 No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br />Z N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fj <br />f <br />5 ill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90% <br />* 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 />* Yes* <br />El No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />I <br />1 0 Product; 0 Water. If yes, describe causes in Section E, below. <br />0 Yes <br />El No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />M Yes <br />[71 No* <br />Is all monitorinR eauiDment merational ver Manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: Found very small amount of rain water inside the 87 STP sump. Removed rain water and placed water <br />into a 55 gal HAZ drum located on site. <br />Page 2 of 4 <br />UN -036 — 2/5 www.unidoes.org Rev. 01/17/08 <br />