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10/04/2004 02: 58 2093651 43 TANKNOLOGY PAGE 11 <br /> Monitoring System Certification • <br /> Site Address: 2500 W. LODI AVE. Date of TestinglSelvice: 09129/2004 <br /> Q LOWER SACRAMENTO RD. <br /> D. Results of Testing/Servicing <br /> SoflwereVersion Installed: 16.02 <br /> Complete the Wowilg checklist: <br /> x Yes No• Is the audible alarm operational? <br /> x❑ Yee No• Is the visual alar operational? <br /> Q Yes No• Were all sensors visually inspected,functionally tested,and confimted operational? <br /> Q Yea [:]No- Were all sensors installed at iowest point of secondary contalnment and positioned so that other equipment will not <br /> interfere with their proper operation? <br /> rl Yes n Ne' X NIA If alarms are relayed to a remote monitoring station,is as communications equipment(e.g,modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down It the piping secondary containment <br /> © Yes ❑No' ❑NIA monitoring system detect a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-dawn?(theca all that apply) ❑x Sumprrrench Sensors: d Dispenser Containment Sensors. <br /> Did you confirm positfve shutdown due to leaks wed sensor fallureldisconneeton? 0 Yes El No <br /> ❑ Yes E]No NIA For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical <br /> overfill prevention valve is installed),Is the overfill warning alar visible and audible at the tank fill points(s)and operating <br /> pruperiy? If so,at what percent of tank capacity does the alar trigger? _ <br /> ❑ Yes• ©No Was any monitoring equipment replaced?If yes,identify specific sensors,pmbes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement pans in Section E,below. <br /> Yea" ©No Was liquid Mural inside any secondary containment systems designed as dry systems?(check all that apply) I]Product; <br /> ❑ Waiter. If yes,describe causes in Section E,below. <br /> © Yes [—]No• Was monitoring system set-up reviewed M ensure proper settings?Attach set-up reports,V applicable. <br /> © Yes No• Is all monitoring equipment operational per manufacturers'specifications? <br /> "In Section E below,describe how and when these deficiencxs were or will be corrected. <br /> E. Comments: <br /> page 2 of 3 <br />