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Monitoring System Certification <br /> Address: 907 LINCOLN RD.STOCKTON 95207 Service Date:04/21/2011 <br /> D.Results of Testing/Servicing <br /> Software Version Installed: 121.00 <br /> Cam fete the fo owing checklist: <br /> ®Yes ❑No* Is the audible alarm operational? <br /> ®Yes ❑No* Is the visual alarm operational? <br /> ®Yes ❑No* Were all the sensors visually inspected,functionally tested,and cofirmed operational? <br /> M Yes ❑No* Were all sensors installed at lowest point of secondary containment and positioned so that other <br /> equipment will not interfere with their proper o ration? <br /> ®Yes ❑No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g. modem) <br /> operational? <br /> ❑N/A <br /> ❑Yes ❑No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary <br /> containment monitoring system detects a leak,fails to operate,or is electrically disconnected? <br /> If yes:which sensors <br /> initiate positive shut- ❑Sumplrrench Sensors ❑ Dispenser Containment Sensors <br /> ®N/A down?: <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ❑Yes ❑No <br /> ❑Yes ❑No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e. no <br /> mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the <br /> ®N/A tank fill point(s)and operating property?If so,at what percent of tank capacity does the alarm trigger?: <br /> ❑Yes* 0 No Was any monitoring equipment replaced? If yes, identify specific sensors, probes,or other equipment <br /> replaced and list the manufacturer name and model for all replacement parts in Section E below. <br /> Was liquid found inside any secondary containment systems designed as dry systems? <br /> 11 Yes* ®No If yes,check the type(s)of liquid found and describe causes in Section E,below. <br /> ❑Product ❑Water <br /> ®Yes ❑No* lWas monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ®Yes ❑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 <br /> An Overfill Prevention Valve is installed in the drop tube. <br /> Monitoring System Certification Page 2 of 4 12/07 <br /> 2 2121/07 <br />