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Facility Name: Costco # 109 odi (Page 2) RECEIVED <br /> D. Results of Testing/Servicing 2015 <br /> Complete the following checklist: <br /> Software Version Installed: 333.04 eNVIRONME <br /> ®Yes ❑ No* Is the audible alarm operational? <br /> e <br /> ®Yes F-1 No* Is the visual alarm operational? <br /> `` <br /> ®Yes ❑ No* Is the print function operational? <br /> ®Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? <br /> ®Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other <br /> equipment will not interfere with their proper operation? <br /> ®Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. <br /> ❑ N/A modem) operational? <br /> ®Yes ❑ No* Did you confirm positive shutdown due to leaks and sensor failure/disconnection? ®Yes; ❑ No <br /> ❑ N/A <br /> ®Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device is <br /> ❑ N/A the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? At <br /> what percent of tank capacity does the alarm trigger? 90% <br /> El Yes* ® No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other <br /> equipment replaced and list the manufacturer name and model for all replacement parts in Section <br /> E, below. <br /> ❑Yes* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check a// <br /> that app/ )❑ Product; ❑ Water; ❑ Brine. 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 <br /> applicable —d <br /> ®Yes I ❑ No* I Is all monitoring equipment operational per manufacturer's specifications? <br /> E. Comments: There was a technician onsite from Elite IV performing a repair on a vacuum <br /> sensor and performing a cold start the morning of the testing. We performed the regular <br /> annual monitoring certification after the cold start to suffice as post cold start/annual <br /> testing. It was noticed after the testing.was completed that the date was not changed by <br /> the technician after the cold start. Therefor all of the sensor alarms tripped today will have <br /> the date of 6/7/13. The inspector was not concerned with this being that we are all have the <br /> understanding of what happens. All tests passed. <br />