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Monitoring System Certification - # of 3 Site Address: 1330 E. Yosemite @ Highway 99 D. Results of Testing / Servicing Software Version Installed: 119.05 Complete the following checklist: 0 Date of Testing/Servicing: 7/15/04 Ig Yes M Yes Yes I ❑ No* ❑ No ❑ No I Is the audible alarm operational? Is the visual arm operational'! Were all sensors visually inspected, functio—nilly tested, and continued operational? Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ❑ Yes ❑ o If alarms arerelayed to a remote monitoring station, is all communications equipment e.g. modem) 6 N/A operational? N Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) IN Sump/Trench Sensors; IN Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/disconnection? i§ Yes ❑ No ❑ es ❑ o M N/A or tanic systems that utilize a monitoring system as the primary tank overfill warning device i.e. no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 0 % IN Yes* ❑ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ❑ Yes 1 No Was liquid foundinside any secon dry contamment systems designed as ary systems.(Check all that app y ❑ Product; ❑ Water. If yes, describe causes in Section E, below. M Yes ❑ o as monitoring system set-up reviewed to ensure proper settings. (Attach set-up reports, if applicable.) Yes ❑ No Is all monitoring equipment operational per manufacturers spec ications. --10•.1 D -O W, uesciwe nuw and when these deficiencies were or will be corrected. E. Comments: Replaced dispenser sensor in #1/2, all tested ok. Permit applied for on 7/29/04. Returned to site later in the afternoon because the pump had gone down. Per Ray Von Flue, okay to change shutdown to dispenser instead of station until repair could be made. Returned to repair and re -program dispenser and was refused access by dealer. Uknown status of sensor at this time.