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Monitoring System Certification - Page 2 of 3 <br />Site Address: 610 S. Cherokee <br />D. Results of Testing / Servicing <br />Software Version Installed. 333.04 <br />ritutivtu <br />NOV 2 3 2015 <br />ENVIRONMENTAL <br />NFAITU r1C040'7/Carr <br />Date of Testing/Servicing: 10126/15 <br />Com tete <br />the rouowm <br />cnecwnsa: <br />® Yes <br />o No* <br />Is the audible alarm operational? <br />® Yes <br />❑ No* <br />Is the visual alarm o erationaP <br />0 Yes <br />o No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />® Yes <br />O No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not interfere with their ro er o eration? <br />o Yes <br />o No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />® N/A <br />o rational? <br />® Yes <br />o No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />o N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (Check all that apply) ■ Sump/Trench Sensors; ® Dispenser Containment Sensors. <br />Did you confirm sitive shut -down due to leaks and sensor failure/disconnection? m Yes ❑ No <br />o Yes <br />o No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />® N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill points) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 0 % <br />o Yes* <br />®No <br />W as any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement arts in Section E, below. <br />o Yes* <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check alt that apply) <br />D Product; 0 Water. if yes, describe causes in Section E, below. <br />® Yes <br />❑ No* <br />Was monitoringsystem set-upreviewed to ensure roper settings? (,4aach set-upreports, i applicable.) <br />® Yes <br />o No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section F, below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: Replaced TLS Battery for PM purposes. <br />87 & 91 are split tanks and share Annular. <br />