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07/21/2003 16:54 1209365154 TANKNOLOGY PAGE 08/16 <br /> Monitoring System Certification <br /> Site Address: 4943 S. KINGSLEY (FRONTAGE RD) Date of resting/Service: 07/18/2003 <br /> HWY 99 ® ARCH AIRPORT RD <br /> Results of Testing/Servicing <br /> software Vers Aon installeifig9,05 <br /> Complete the following chsckl.ivt= <br /> M yne No Is the audible alarm operational? <br /> 0 yes 11 No I Is the visual alarm operational? <br /> Q Yes ON. Were all sensors visually Inspected,functionally tested,and confirmed operational? <br /> Q vee El No Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> Interfere with their proper operation? <br /> yes Ne N/h If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down 0 the piping secondary containment <br /> © yes ONO ❑N/a monitoring system detects a leak,fails to operate,or Is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) ❑x Sump/Trench Sensors; %p Dispenser Containment Sensors. <br /> Did you Confirm positive shut-down due to leaks slid sensor fallure/disconnection? Ix yrs No <br /> yes ©No �x N/n For tank systems that utilize the monitoring system as the primary tank overfill warning device(.e.:no mechanical <br /> overfill prevention valve is Installed),Is the overfill warning alarm visible and autlible at the tank fill points(s)and Operating <br /> property? If so,at what peroent of tank capacity does the alarm trigger? t <br /> El yes ©No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ ys ©No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> El Water. If yes,describe causes In Section E,below. <br /> © vee ❑No Was monitoring system set-up revlawed to ensure proper settings?Attach set-up reports,if applicable. <br /> TY-71 ❑No Is all monitoring equipment operational par manufacturers'specifications? <br /> Lon E below, describe how and when these deficienees were or will be corrected. <br /> E. Comments: <br /> page 2 of 3 <br />