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02/09/2010 11:29 FAX 916 371 2380 BZ SERVICE STATION 1@003 <br /> D. Results ofTesting/Servicing <br /> Software version Installed, 12 1.00 <br /> Complete the followin checklists <br /> x yes p No* Is the audible alarm operational? <br /> x Yes ❑ No* Is the visual alarm operational? <br /> x Yes Cl No* Were all sensors visually inspected,functionally tested,and confirmed operational'? <br /> x Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> will not interfere with their proper operation? <br /> F❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> X N/A operational? <br /> x Yes C3 No* Far pressurized piping systems,docs 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 <br /> initiate positive shut-down? (Check all that apply) x Sump/Trench Sensors; X Dispenser Containment <br /> Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? x Yes; ❑No. <br /> x Yes p No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> ❑ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what parccni of tank ca city does the alarm trigger? 90% <br /> ❑ Yes* x No Was any monitoring equipment replaced? If yes, idun. tify specific sensors, probes, or other equipment <br /> replaced and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* x 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 E,below. <br /> x Yes CI No* Was monitoring system set-up reviewed to ensure ffopLT settings?Attach set up reports,if applicable <br /> x Yes ❑ No* I Is all monitoring equipment o erational per manufacturer's V ications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> Page 2 of 3 <br /> TIN436-2/4 w uEMomorg Rev.61/26/06 <br />