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E <br />Monitoring System Certification <br />Address: 907 LINCOLN RD. STOCKTON 95207 <br />D. Results of Testing/Servicing <br />Software Version Installed: 121.00 <br />Complete the following checklist: <br />Service Date: 05/06/2010 <br />® Yes ❑ Na' <br />Is the audible alarm operational? <br />® Yes ❑ No* <br />Is the visual alarm operational? <br />® Yes ❑ No* <br />Were all the sensors visually inspected, functionally tested, and cofirmed operational? <br />® Yes ❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other <br />equipment will not interfere with their proper operation? <br />® Yes ❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />operational? <br />❑ N/A <br />❑ Yes ❑ No* <br />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- ❑ Sump/Trench Sensors ❑ Dispenser Containment Sensors <br />® N/A <br />down?: <br />Did you confirm positive shut -down due to leaks and sensor failureldisconnection? ❑ Yes ❑ No <br />❑ Yes ❑ No* <br />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 <br />tank fill point(s) and operating properly?If so, at what percent of tank capacity does the alarm trigger?: <br />❑ Yes* ® No <br />Was any monitoring equipment replaced? Ifyes, 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 />❑Yes* ®No <br />If yes, check the type(s) of liquid found and describe causes in Section E, below. ❑ Product ❑ Water <br />®Yes ❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />® Yes ❑ No* <br />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 />L2, L3 sensor wiring was relocated to their proper positions in TLS prior to certification. <br />An Overfill Prevention Valve is installed in the drop tube. <br />Monitoring System Certification Page 2 of 4 12107 <br />2 2121107 <br />