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FEB -17-2011 16:24 Service Station Systems <br />Monitoring System Certification - Page 2 of 3 <br />408 938 8888 P.04 <br />Site Address; 35 N. Cherokee Ln. Date of Testing/Servicing; 1120111-- _— <br />D. Results of Testing / Servicing <br />Software version Installed. 122.00 <br />Cmmnlete the follewine checklist - <br />0 <br />Yes <br />❑ No* <br />Is the audible alarm o rational? <br />a Yes <br />p No* <br />is the visual alarm operational? <br />to Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed o crational'? <br />III Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their pr222r operation? <br />❑ Yes <br />0 No* <br />if alarms arc relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />N N/A <br />operational? <br />a Yes <br />a No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />monitoring system detects a leak, fails to operate, or is electrically disoonnected? If yes; which sensors initiate <br />positive shut -down? (Check all that app(y) ® Sump french Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ® Yes ❑ No <br />❑ Yes <br />(3 No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />M N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at, the tank <br />fill oint(s and o Gratin properly? If so, at what percent of tank capacity does the alarm tri er? 0 <br />a Yes* <br />a 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 E, below. <br />A Yos* <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Cheek all that apply) <br />Cl Product; ❑ Water, If yes, describe causes in Section E, below. <br />® Yes <br />a No* <br />Was monitorin s ; tem set -u reviewed to ensure proHr settia s? Attach set-up re orfs i a licable. <br />a Yes <br />0 No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: Replaced 89 Annular, Re -tested and passed. <br />While trying to open J•box, conduit broke and was unable to gat Into j -box. Wired sensor on <br />outside of j•box. Need to have a new j -box installed and conduit repaired. <br />Tube needs to be installed in 91 STP Sump to move to other side. Had to adjust 91 LLD, <br />Scheduled to Return/Retest for the Permit Final with Aris on 2/18/11 <br />