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Monitoring System Certification-Page 2 of 3 <br /> Site Address, 3725 N.Tracy Blvd. Date of Testing/Servicing: 12/5/11 <br /> D. Results of Testing i Servicing <br /> Software Version Installed, 2.0 <br /> Complete the following checklist: <br /> N Yes 0 No* Is the audible alarm operational? <br /> N Yes 0 No* Is the visual alarm operational? <br /> 19 Yes 0 No* Were all sensors visually inspected, functionally tested,and confirmed oeerational? <br /> 0 Yes 0 No* Were all sensors installed at lowest point of secondary containment and positionedso that other equipment will <br /> not interfere with their proper operation? <br /> 0 Yes 0 No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> N N/A operational? <br /> 0 Yes 0 No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> H N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive sbut-down? (Check all that apply) 0 SumprFrencb Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 Yes 0 No <br /> 0 Yes El No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> 0 N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and 22erating properly? If so,at what percent of tank capaci!X does the alarm trigger? 0 % <br /> [I Yes* to 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* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> 0 Product;1:1 Water, If yes,describe causes in Section E,below. <br /> IR Yes 0 No* Was monitoring system set-H reviewed to ensure roper settings? (Attach set-up reports, il'qeelicable. <br /> L 0 Yes 0 No* 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: Tested as part of a Permit Final for replacement of 522T Interface Board on a prior date. <br />