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D. Results of Testing/Servicing Software Version Installed : 334 . 01 Complete the following checklist : Yes ❑ No* Is the audible alarm operational ? x7 Yes ❑ No* Is the visual alarm operational? *1 Yes ❑ No* Were all sensors visually inspected, functionally tested , and confirmed operational ? z❑ Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? rtj Yes ❑ No* If alarms are relayed to a remote monitoring station , is all communications equipment (e. g. modem) operational? ❑ N/A k1 Yes ❑ No* For pressurized piping systems , does the turbine automatically shut down if the piping secondary containment monitoring system ❑ N/A detects a leak, fails to operate , or is electrically disconnected ? If yes: which sensors initiate positive shut-down ? (Check all that apply) [ESumpfTrench Sensors ; E] Dispenser Containment Sensors . Did you confirm positive shut-down due to leaks and sensor failure/disconnection ? E] Yes ; ONo. ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i .e. no mechanical overfill prevention �❑ N/A valve is installed) , is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % ❑ Yes* >f7 No Was any monitoring equipment replaced ? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for ail replacement parts in Section E, below. ❑ Yes* K7 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ®Product ; []Water. If es , describe causes in Section E, below. X❑ Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports , if applicable C Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected . E. Comments : I I I I i i i Monitoring System Certification Page of 12/07 i I