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. 0L2/23/2008 12:27 FAX 8257722 MANTECA SHELL 10003 <br /> 40 of <br /> Monitoring System Certification *M—c <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 5.00 <br /> Com tete the following checklist: <br /> fad Yes 0 No* I Is the audible alarm o erational7 <br /> IKI Yes ❑ No* Is the visual alarm operational? <br /> ®Yes Q No* Were all sensors visually inspected, functionally tested,and confirmed operational? <br /> 0 Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> 0 Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ® N/A operational? <br /> [s1 Yes Q No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> 0 N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply) 0 Sump/Trench Sensors; 181 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sonsor failure/disconnection? 0 Yes; ❑No. <br /> ❑ Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> 10 N/A. mectmnical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill ort sand eratinproperly? if so at what ercemDftank.ca aci does the alarm.tri r7._ % <br /> 'M Yes' ❑ No Was any monitorurg equipmem,repiaceiM Yfyes,idemlfy-sptctfresensors;prubes,vr`dtheregnipmentrepieced <br /> and list the manufacturer name and model for all replacement parts in Section E below. <br /> IM Yes* ❑ No Was liquid found inside any sccondary containment systems designed as dry systems? (Check all that apply) <br /> U Product; lM Water. If yes,describe causes in Section E below. <br /> 0 Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> 0 Yes 0 No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or win be corrected. <br /> E. Comments: I rel�roaramm d the output relays to properly reconnlze sumo and pan sensors fol_ <br /> nositive shut-down and fall safe. <br /> Removed less than 1 gal of rain water from the 87 sumo. <br /> UN-036-2/4 Page 2 of 4 Rev.o6M4/01 <br /> www.Imldocn.orY <br />