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D. Results of Testing/Servicing <br />Software Version Installed: 329,01 <br />Complete the following checklist: <br />JAN Z22018 <br />Yes <br />❑ No' <br />Is the audible alarm operational? <br />® Yes <br />❑ No" <br />Is the visual alarm operational? <br />® Yes <br />❑ No' <br />Were all sensors visually inspected, functionally tested, and confirmed operational? —4 IT <br />S Yes <br />❑ No' <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper <br />operation? <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) operational? <br />® N/A <br />® Yes <br />❑ No' <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects leak, <br />❑ NIA <br />a <br />fails to operate, or is electrically disconnected? If yes; which sensors initiate positive shut -down? (Check all that apply) ® Sump/Trench <br />Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor fail ureldisconnection? S Yes, ❑ No. <br />❑ Yes <br />❑ No' <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no mechanical overfill prevention valve is <br />2 N/A <br />installed), is the overfill warning alarm visible and audible at the tank fill poini(s) and operating propedy? If so, at what percent of tank capacity <br />does the alarm trigger? 0% <br />❑ Yes <br />® No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name <br />and model for all replacement parts in Section E, below. <br />[]Yes* <br />No <br />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 />ID Yes <br />El No' <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />21Y ---s <br />1 Yes <br />❑ 1 <br />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 />SJC ON SITE. VILE SHOWED UP AND SITE HAD Q3 GROSS LINE FAIL. COULD NOT GET ALARM TO <br />CLEAR, SO COULD NOT TEST SENSOR OUT OR FAIL SAFE. <br />ALSO 91 & DSL PLLDS HAD TO MUCH AIR DID NOT PASS. ALL 3 PLLDS STILL NEED TESTED <br />AGAIN AFTER FUEL DELIVERY AND REPAIRS <br />E. comments: ALL 3 FLOATS AND CHAINS FAILED AND SHEER VALVES NEED REPLACED IN DISP 5-6. <br />Monitoring System Certification Page 2 of 4 2121107 <br />:ALTH <br />