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11/30/2009 16:32 FAX 2093683234 <br />GEORGE BISHIDA INC 0 009 <br />A, Results of Testing/Servicing <br />Software version Installed: I <br />® ves <br />❑ No' <br />Is the audible alarm operational? <br />® Yes <br />❑ No* <br />Is the visual alarm operational? <br />0 Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />0 Yes <br />Q No, <br />Were all sensors installed at lowest point of secondary containme t and positioned so that other equipment will not Interfere with their proper <br />operation? <br />❑ Yes <br />Q NV <br />If alarms are relayed to a remote monitoring station, Is all communications equipment (e.g., modem) operational? <br />® N/A <br />❑ Yes <br />® No• <br />For pressurized piping systema, does the turbine automatically shut <br />down If the piping secondary containment monitoring system detects a leak, <br />❑ N/A <br />fails to operate, or is electrically disconnected? If yes: which sersars <br />Initiate positive shutdown? (Check at/ that apply) ❑ Sump/Tranch <br />Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor rallurel <br />Isconnection? ❑ Yes; ❑ No. <br />❑ Yes <br />❑ No* <br />for tank systems that utilize the monitoring system as the primatank <br />overfill warning device (Lo„ no mechanical overfill prevention valve Is <br />Q NIA <br />Installed), is the overfill warning alarm visible and audible at the to <br />k fill polnt(s) and operating properly? If so, at what percent of tank capacity <br />does the alarm trigger? 0% <br />1-71® <br />No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name <br />and modei for all repiacemens parts in Section E, below, <br />Yes <br />❑ <br />® No <br />Was liquid found inside any secondary containment systems desig ed as dry systems? (Check all that apply) <br />❑ Product; ❑ water. If yes, describe causes in Section E, below. <br />Yes <br />ves <br />Q Ne <br />Was monitoring system set-up reviewed to ensure proper settings? ttach set up reports, if applicable <br />,10 Yes <br />M No' I <br />Is all monitoring equipment operational per manufacturer's specific tions? <br />In Section E below, describe how and when those deficiencies were or will be correctld, <br />E. Comments: NO SHUTDOWN ON THE SENSORS. NEED A LIME <br />FOR, SHUT DOWN. r �� <br />Monitoring System Certification <br />Page 2 of 4 <br />OR BE PROGRAMED <br />2a l/0 <br />