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FEB -20-2009 18:33 Service Station Systems 408 938 8888 P.04 <br />Monitoring System Certification - Pil of 3 <br />Site Address: 35 N. Cherokee Ln. a Elm St Date of Testing/Servicing: 1/20/08 <br />D, Results of Testing / Servicing <br />Software Version Installed, 122.00 <br />L+® <br />lost. <br />18 Yes <br />la No* Is the audible alarm operational? <br />• Yes <br />0 Nos Is the visual alarm operational? <br />• Yes <br />0 Nos Were all sensors visually inspected, functional!y tested, and confirmed o tionai? <br />i8 Yes <br />0 No* 'Dere all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their proper operation? <br />0 Yes <br />0 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />IN N/A operational? <br />• Yes <br />❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />® N/A 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) M Sump/Trench Sensors; a Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? tg Yes 0 No <br />0 Yes <br />0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />M N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill int(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 0 % <br />0 Yes* <br />M No 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 />0 Yes* <br />M No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />0 .Product; ❑ Water. if yes, describe causes in Section E, below, <br />M Yes <br />0 No* Was monitoring system set -u2 reviewed to ensure Eoper settin ? ,4ttach sel.up reports, ia licable. <br />t8 Yes <br />0 No* Is all monitoring equipment operational per manufacturer's specifications? <br />` In Section <br />E below. describe how and when these deficiencies were nr will he enrrerted. <br />E. Comments: <br />