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FEB -14-2012 08:01 Service Station Systems 408 938 8888 P.04 <br />Monitoring System Certillication - Pa of 3 <br />Site Address: 35 N. Cherokee Ln. Date of Testing/Servicing;: 1/18/12 <br />D. Results of resting / Servicing <br />Software Version Installed- 122.00 <br />lr V,ll lG6G <br />4flG lVllV <br />.. 1,1 ' <br />Is the audible alarm o erational? <br />m Yes <br />13 No* <br />m Yes <br />❑ No* <br />Is the visual alarm operational'? <br />m Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />to Yes <br />❑ No's <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation? <br />❑ Yes <br />0 No* <br />If alarms are relayed to a rernote monitoring station, is all communications equipment (e.g, modem) <br />IN N/A <br />operational? <br />m Yes <br />❑ NO <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />p N/A <br />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) a Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? IN Yes d No <br />® Yes <br />Q No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />to N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alanr► visible and audible at the tank <br />fill int(s) and operating properly? If so, at what pe.rcent of tank capacity does the alarm tri !er'? 0 % <br />❑ Yes* <br />2 No <br />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 L, below, <br />❑ Yes* <br />m No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />❑ Product; 0 Water. If yes, describe causes in Section I--', below. <br />3 Yes <br />❑ Noy` <br />livable. <br />Was monitoring s stem set-up reviewed to ensure proper settings? Attach set-yreports, if applicable.) <br />N Yes <br />❑ No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />R lin Section F.. below, describe how and when these deficiencies were or will be corrected, <br />E. Comments: <br />