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From: 09/28/2017 13:29 #843 P.003/008 Monitoring System Certification 0 D. Results of Testing/Servicing ED SEP 2 S 2017 Software Version Installed: 134.00 �_i -,4LTH Com tete the followins checklist: ® Yes ❑ No* Is the audible alarm operational? ® Yes ❑ No* Is the visual alarm operational? j ® Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? ® 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? ElYes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) I ® N/A operational? pt ® Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment ' ❑ N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check all that apply) ®Sump/Trench Sensors; ®Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks—and sensor failure/disconnection? ®Yes; ❑No. ® Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no ❑ N/A mechanical overfill prevention 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? 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* N No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑Product; ❑Water. If yes,describe causes in Section E,below. ® Yes I ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable ® Yes I ❑ 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: Tank 1 Diesel STP Sump Annular sensor- _ Tank 2 Diesel STP Sump Anamarmsor-07894380-304 FM Sump Annular sensor–u-78943W-3U4 Tank 3 Bledlese!STr Sump Annular sensor-1115y4JOU-JU4 Fill Sump Al D--304 Vent Sump Annular sensor–0 789438"04 Dispensers Annular Sensors for: 1;615; 1129-512;413;zt; 7 with sensor model.078 9435-0-JUR Transition Piping Sump Sensor–0 7894380 208 Transition Piping Sump Annular–07894380-304 Page 2 of 4 i UN-036-2/4 wvl,.unidocs.org Rev.01/17/08