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07/23/2013 11:53 (209)465-4988 MaryAnn Henderson Page 3/7 <br /> Monitoring System Certification • <br /> D. Results oTTestiog/Servicing RECEIVED <br /> Software version Installed: 329.00 JUL 2 3 2013 <br /> Complete the followigcbecldist: ENVIRONMENTAL <br /> ® Yes ❑ No* I Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> ® Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> will not interfere with their proper operation? <br /> ❑ Yes Cl NO If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br /> ® N/A operational? <br /> ® Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shutdown? (Check all that apply) ® Sumpfrrench Sensors; ®Dispenser Containment Sensors. <br /> Did you confirm positive shutdown due to leaks and sensor failuWdisconnection? ®Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br /> g N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill int(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? % <br /> ❑ Yes* ® No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment <br /> replaced and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yes* ® No 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 /> ® Yes ❑ No* Thal monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ® Yes ❑ No* Is all monitoring equipment operational per manufachuer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 <br />