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A08/19/2008 09:25 83164 4 SPECIAL SERVIC PAGE 03 <br /> Monitoring System Certification <br /> Address: 124 W. ELM ST. LODI 95242 Service Date:07/38/2008 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 122.00 <br /> Complete the fol owing checklist; <br /> ZYes ❑No' Is the audible alarm operational? <br /> ZYes Q No* Is the visual alarm operational? <br /> (%Yes QNo' Were all the sensors visually inspected,functionally tested,and cofirmed operational? <br /> QYes [:]No' Were all sensors installed at lowest point of secondary containment and positioned so that other <br /> equipment will not interfere with their ProDer o eration7 <br /> 9Yes ❑No" If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> ❑NIAoperational? <br /> QYes ❑No- For pressurized piping systems,does the turbine automatically shut down if the piping secondary <br /> containment monitoring system detects a leak,fails to operate,or is electrically disconnected? <br /> UIf yyes:which sensors <br /> Initiate positive shut- QSumplTrench Sensors ❑Dispenser Containment Sensors <br /> ®NIA down?: <br /> Old you confirm positive shut-dawn dug to leaks and sensor failureldisconnection7 QYes QNo <br /> []Yes QNo' 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 /> N N/A tt Jannk fill point(s)and operating properly?lf so,at what percent of tank capacity does the alarm trigger?: <br /> ®Yes* QNo Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment <br /> replaced and list the manufacturer name and model for alI re I_Cement parts in Section E, below. <br /> Was liquid found inside any secondary containment systems designed as dry systems? <br /> QYes' ®No If yes check the type(s)of liquid found and describe causes in Section E.below. <br /> QProduck QWater <br /> NYes ❑No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ®Yes ❑No" Is ail monitoring equipment operational per manufacturers specifications? <br /> " <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments <br /> L5 FIRE BOX 784380-208 <br /> L5 FIRE BOX SENSOR WAS INSTALLED AND PROGRAMMED INTO THE VEEDER ROOT SYSTEM, THE L5 <br /> SENSOR WAS THE ONLY SENSOR TO BE 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 />