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Monitoring System Certification D. Results of Testing/Servicing Software Version Installed: 324.02 Complete the following checklist: ■ Yes ❑ No* Is the audible alarm operational? ■ Yes ❑ No* Is the visual alarm operational? ■ Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed 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 ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ■ N/A operational? ■ 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) ■ Sump/Trench Sensors; 0 Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/disconnection? 0 Yes; ❑ No. ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ■ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fillpoint(s) and operating ro erl ? If so, at what percent of tank capacity does the alarm trigger? % ❑ 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* N No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; ❑ Water. If yes, describe causes in Section E, below. Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable Yes ❑ No* I Is all monitoring equipment oerational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Fill sumps, STP sumps and UDC's are all Double wall and brine filled. All have Veeder- Root model 794380-322 sensors. The vent transition box is Double wall and brine filled with Veeder-Root model 794380-208 and 794380-322 sensors. The Continous Vacuum on the secondary lines is monitored with Veeder-Root model 330020-408 Smart sensors. UN -036 - 2/4 Page 2 Of 3 Rev. 06/04/01 www.unidocs.org