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JAN-20-2012 11:10 Ser e Station Systems 408 938 8888 P.09 <br /> Monitoring System Certification-Page 2 of 3 <br /> Site Address: 3725 N.Tracy Blvd. Date of Testing/Servicing: 115/12 <br /> D. Results of'Testing/Servicing <br /> Software'Version Installed, 2.0 <br /> Cam tete the follo__*ng checklist. <br /> a Yes ❑ No* Is the audible alann o erational? <br /> a Yes ❑ No* Is the visual alarm o erational? <br /> 0 Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed o erational? <br /> 0 Yes o No* 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 ❑ No's ifalarms are relayed to a remote monitoring station,is all communications equipment(e.g,modem) <br /> a N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> 11 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) ❑ Sump/Trench Sensors; lI Dispenser Containment Sensors. <br /> Did you confirm 22sitive shut-down due to leaks and sensor failurc/disconnection? ® Yes Cl No <br /> ❑ Yes ❑ No* For tank systems that OH7.e the monitoring system as the primary tank overfill warning device(i.e.no <br /> a N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill oint(s)and operating properly? If so,at what Ecrccnt of tank capacity does the alarm tri rcr? 0 % <br /> ® Yes* a 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 B,below. <br /> ❑ Yes* a No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ Product,❑ Water. If yes,describe causes in Section l-,,below. <br /> IN Yes ❑ No* Was monitorinE system set-up reviewed to ensure proper settin s? Attach sel-upreports, i a LUcable. <br /> Z Yes a No* Is all monitoring equipment operational per manufacturer's specifications? <br /> * In Section F below,describe hors and when these deficiencies were or will be corrected. <br /> E. Comments: <br />