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10/19/2003 16:22 4089715 SSS INC PAGE 03 <br /> Monitoring;System Certification-Page 2 of 3 <br /> Site Address: <br /> 341 E.Main St- n Hwy- 99 Date of Testin;/Servicing: 8128103 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checldist: <br /> ®Yes ❑No* Is the audible alarm operational" <br /> (�Yes [1 No* is the visual alarm o erational'? <br /> yeslo No* Were all sensors visually in ectad. functionally tested,and confirmed operational? <br /> ❑ No* Were all censors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with.their proper opeiation't <br /> {g9 Yes [ No* if ala Tis are relayed to a remote monitorinf,station,is all communications equipment(e.g.modem) <br /> ❑ N/A operational? <br /> ®YesNo* For pressurized.piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A nionitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that ripply) ®Sump/Trench Sensors; 0 Dispenser(;ontainment Sensors. <br /> Did you,confirm positive shut-down due to leaks and sensor failure/disconmetion? ®Yes ❑No <br /> Yes ❑No", For tauk bystems that utilize the monitoring system as the primary tank ove rill warning device(i.e.no <br /> ❑N/A mechanical overfill prevention valve is installed),is the overfill warning;alarm visible and audible at the tank <br /> till point(s)and operating pro erly? :If so,at what percent of tank capacity does the alarm trigger? 90 % <br /> 0 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 replacement parts in Section E,below. <br /> [&j7u ❑No Was ligaid foundinside any secondary containn,pnt systems designed as dry systcros'? (Check all that apply) <br /> Q Product; ® Water, If yes,describe causes in Section E,below. <br /> Z <br /> �111'11TO*l <br /> Was monitorin system set u reviewed to ensure pro er settings? Attach sEt-a� re orts. i a licabde,)a is all monitoring equipment operational per manufacturer's speLilicaeivzdb? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> F. Comments: Liquid found in reg turbine sump. LC Services removed upon completion, made sure set up <br /> tape was set for shut down @ diapensor. <br /> AB2481: <br /> Regular fill bucket passed <br /> Premium fill buckat failed -Repalredltested on 10117/03 <br />