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4 � <br />Monitoring System Certification ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />D. Results of Testing/Servicing <br />Software Version Installed: 5.03 <br />Complete the following checklist: <br />® Yes <br />❑ No* <br />Is tire audible alarm operational? <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 />® NIA <br />operational? <br />® Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut doti% n if the piping secondary containment <br />❑ NIA <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 />19 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 operating properly? If so, at what percent of tank capacity does the alarm trigger?o <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 />® 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 equipment operational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />The Diesel system is "Safe Suction". Both tanks have mechanical overfill drop tubes. <br />System has a remote annunciator mounted on outside wall of building, facing the tanks. Operation was verified. <br />Safe suction of Diesel product was verified for SIC HAZMAT during monitor cert.(8-5-14) <br />Page 2 of 3 <br />ESH-EFA-TKS-18-15666-SMIEM:mw <br />