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Monitoring System Certification-Page 2 of 3 <br /> Site Address: 1409 S.Airport Way Date of Testing/Servicing: 615114 <br /> D. Results of Testing/Servicing <br /> Software Version Installed, 327.04 <br /> Complete the following checklist: <br /> N Yes ❑ No* Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> ® Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> to Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> 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 /> ® N/A operational? <br /> N Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A 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) 0 Sump/Trench Sensors; 0 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? a Yes ❑ No <br /> D Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> N N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 0 % <br /> ❑ Yes* 19 No Was 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 parts in Section E,below. <br /> 11 Yes* N No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ Product;❑ Water. If yes,describe causes in Section E,below. <br /> Yes ❑ No* Was monitorinR system set-up reviewed to ensure proper settings? Crlltach set-up reports, ifopplicable. <br /> 9 Yes ❑ No* 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: 87 ii, 91 are split tanks and share Annular. <br /> REC <br /> JUN 3 0 2014 <br /> ENVIRONMENTAL HEALTH <br /> dEpARTMENT <br />