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03/2312013 5:44AM FAX 19252 71 Guadalupe Sanchez 1a000210010 <br /> Monitoring System Certification <br /> D. Results of TestinglServicing <br /> Software Version installed: 329.01 <br /> Complete the followin checklist; <br /> [M Yes ❑ No* Is the audible alarm operational? <br /> ® Ygs ❑ No* Is the visual alarm operational? <br /> ® Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> N Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not intdrfere with their proper operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> ® N/A operational? <br /> N Yes ❑ No* Por pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A 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) N Sump/Trench Sensors; ❑Dispenser Contahunent Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? N Yes; ❑N3. <br /> ❑ Yes ❑ No's For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> 0 N/A 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? 90% <br /> ❑ 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 /> IJ YeO ® No 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 No* Was monitoring system set-up reviewed to ensure proper settings?Attach'set up reports,if applicable <br /> N Yes 10 No* 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 /> ,.",1 <br /> ENVIRONMENTAI <br /> Page 2 of 4 <br />