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s ICC UST Service Technician # 8146912 -UT Facility Name: Costco # 1431 Manteca (Page 2) D. Results of Testing/Servicing Comnlete the followina checklist: Software Version Installed: 333.04 •Yes ❑ No* Is the audible alarm operational? •Yes ❑ No* Is the visual alarm operational? •Yes ❑ No* Is the print function operational? ®Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? ZYes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ®Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. ❑ N/A modem) operational? *Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary ❑ N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown? (Check all that apply) ® Sump Sensors; Dispenser Containment Sensors. Did you confirm positive shutdown due to leaks and sensor failure/disconnection? N Yes; ❑ No. ® Emergency Shut Down (ESD) was tested and found to be working at each station. Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device, is ❑ N/A the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? At what percent of tank capacity does the alarm trigger? 90% Yes* ❑ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ❑Yes* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; ❑ Water; ❑ Brine. If yes, describe causes in Section E, below. Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable NYes ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? E. Comments: Replaced the liquid float on s9 87a product vacuum sensor with like for like sensor. Sensor performed correctly after replacement.