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0 <br />Facility Name: Costco # 1031 Manteca <br />D. Results of Testing/Servicing <br />rnr nlc+n +hn ft%unin�inn rharklic+• <br />(Page 2) <br />0 <br />RECOVED" <br />r,^p 04 2015 <br />Software Version <br />Installed: 333.04 <br />® Yes <br />❑ No* <br />Is the audible alarm operational? <br />®Yes <br />❑ No* <br />Is the visual alarm operational? ,��' +�h <br />HYes <br />❑ No* <br />Is the print function operational? <br />®Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />®Yes <br />❑ No* <br />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 <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. <br />❑ NIA <br />modem) operational? <br />•Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary <br />❑ N/A <br />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) rq Sump Sensors; Z <br />Dispenser Containment Sensors. <br />Did you confirm positive shutdown due to leaks and sensor failure/disconnection? ® Yes; ❑ No. <br />® Emergency Shut Down (ESD) was tested and found to be working at each station. <br />®Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device, is <br />❑ N/A <br />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* <br />❑ No <br />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 />❑Yes* <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all <br />that a I) ❑ Product; ❑ Water; ❑ Brine. If yes, describe causes in Section E, below. <br />Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if <br />applicable <br />EYes <br />❑ No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />E. Comments: Replaced Veeder-Root light bulb with new LED light bulb after it went out <br />while testing. Replaced S9 87A Product Line water float after it failed to detect water. Tested <br />new one and it passed. <br />