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Monitoring System Certification <br />Site Address: Site 300 -Bldg. 879, Corral Hollow Road, Trac , CA 95376 Date: 10-20-2004 <br />D. Results of Testing/Servicing <br />Software Version Installed: 5.03 <br />Comnlete the followinu eheeklist! <br />■ Yes <br />❑ No* <br />Is the audible alarmoperational? <br />■ Yes <br />❑ No* <br />Is the visual alarm operational? <br />■ Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />■ Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />■ N/A <br />operational? <br />■ Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ 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) ■ Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ■ Yes; ❑ No. <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />■ 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 9perating prgpffWIf so, at what percent of tank capacity does the alarm trigger? % <br />❑ Yes* <br />■ No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br />replaced and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />U. No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; ❑ Water. If yes, describe causes in Section E, below. <br />■ Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />■ Yes <br />❑ No* <br />Is all monitoring ui ment operational per manufacturer's specifications? <br />R In lection E below, describe bow and when these deficiencies were or will be corrected. <br />E. Comments: <br />The Diesel tank is a suction system. Both tanks have mechanical over fill drop tubes. Reports were given to Haz Mat inspector <br />during the Demo. <br />System has a remote annunciator on outside wall of building, facing tanks. Operation was confirmed during the inspection. <br />Page 2 of 3 03/01 <br />