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Monitoring System Certification <br /> Address: 1617 W FREMONT STOCKTON 952032038 Service Date: 10/03/2008 <br /> D. Results of Testing/Servicing <br /> Software Version Installed:328.03 <br /> Complete the fol owinq 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 /> ®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 operation? <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- ®Sump/Trench 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 /> ❑NIA tank fill point(s)and operating properly?If so,at what percent of tank capacity does the alarm trigger?: <br /> 90% <br /> 4 <br /> ❑Yes* ®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 /> ❑Yes* ®No If yes,check the type(s)of liquid found and describe causes in Section E,below. <br /> 171 Product ❑Water <br /> ®Yes ❑No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports, if applicable <br /> M Yes ❑No* Is all monitoring equipment operational per manufacturers specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments <br /> a' <br /> F <br /> • t. <br /> a <br /> I. <br /> Page 2 of 4 <br />