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RECPAIED <br /> Facility Name: Costco # 1031 Manteca (Page 2) <br /> AUG S 0 2018 <br /> D. Results of Testing/Servicing <br /> Complete the following checklist: ENVIRONMENTAL <br /> Software Version Installed: 333.04HEAL!H J1 ,\:• t <br /> ®Yes ❑ No* Is the audible alarm operational? <br /> ®Yes ❑ No* Is the visual alarm operational? <br /> ®Yes ❑ No* Is the print function operational? <br /> ®Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed 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. <br /> ❑ N/A modem) operational? <br /> ®Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary <br /> ❑ N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If <br /> yes: which sensors initiate positive shutdown? (Check all that apply) ® Sump Sensors; <br /> Dispenser Containment Sensors. <br /> Did you confirm positive shutdown due to leaks and sensor failure/disconnection? ® Yes; ❑ No. <br /> ® Emerge cy Shut Down (ESD) was tested and found to be working at each station. <br /> ®Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device, is <br /> ❑ N/A the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? At <br /> what percent of tank capacity does the alarm trigger? 90% <br /> ❑Yes* ® No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other <br /> equipment replaced and list the manufacturer name and model for all replacement parts in Section <br /> E, below. <br /> El Yes* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all <br /> that apply)❑ Product; ❑ Water; ❑ Brine. If yes, describe causes in Section E, below. <br /> ®Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if <br /> applicable <br /> ®Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> E. Comments: <br />