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08/19/2008 09:25 8316481924 SPECIAL SERVICES PAGE 03 <br /> Monitoring System Certification <br /> Address: 124 W. ELM ST. LODI 95242 Service Date: 07/30/2008 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 122.00 <br /> Complete the fol owing checklist; <br /> ®Yes ❑No* is the audible alarm operational? <br /> ZYes ❑No* Is the visual alarm operational? <br /> %Yes ❑No" Were all the sensors visually inspected,functionally tested,and cofirmed operational? <br /> ElYes ❑No* Were all sensors installed at lowest point of secondary containment and positioned so that other <br /> equipment will not interfere with their proper operation? <br /> CKYes [—]No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem) <br /> operational? <br /> ❑N/A <br /> ©Yes ❑No* For inpiping <br /> n systems,does the turbine pa , rithe <br /> tedpry <br /> containment otori9ystemdettects a leak,fails to operate,os electricallYdiisconnc ? <br /> If yes:which sensors <br /> Initiate positive shut- ❑sump/Trench sensors []Dispenser Containment Sensors <br /> ®N/A down?: <br /> Old you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes ❑No <br /> ❑Yes ❑No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no <br /> mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the <br /> ra N/A tank fill point(s)and operating properly?if so,at what percent of tank capacity does the alarm trigger?: <br /> NA <br /> EKYes* ❑No Was any monitoring equipment replaced? If yes, identify specific sensors, probes,or other equipment <br /> replaced and fist the manufacturer name and model for all re,.lacement parts in Section E below. <br /> Was liquid found inside any secondary containment systems designed as dry systems? <br /> [--]Yes* ®No If yes,check the type(s)of liquid found and describe causes in Section E,below. <br /> ❑Product ❑Water <br /> XYes El No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ®Yes ❑No* I Is all monitoring equipment operational per manufacturers specifications? <br /> "In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments <br /> L5 FIRE BOX 794380-208 <br /> L5 FIRE BOX SENSOR WAS INSTALLED AND PROGRAMMED INTO THE VEEDER ROOT SYSTEM, THE L5 <br /> SENSOR WAS THE:ONLY SENSOR TO RE CERTIFIED IN THE SYSTEM AT THIS TIME.ALL OTHER SENSORS AND <br /> ATG WERE CERTIFIED ON 18 JUNE 2008, <br /> Page 2 of 4 <br />