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From:Wendell Geyer Fax:(714)6762489 To:2094683433@rcfax.con Fax: ♦12094683433 Page 2 of 11 1 01081201 6 10:38 AM <br /> D.Results of Testir1g/5ervklrrg • <br /> RECEIVED <br /> Software Version Installed: 120.02 <br /> Complete the follow Ift checklist _—_ OCT 06 2015 <br /> ❑X Yes ❑No* the audible alarm operational? <br /> s <br /> Q YesZNIs the visual alarm operational? uppnTlJ nFopoTfeCp1T <br /> 0 Yes Were all sensorsvisually inspected,functionally tested,andconfrmed operational? <br /> YesWere all sensors installed at lowestpoint of secondary contawill not interfere with their <br /> o r o ation?YesIf alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) <br /> ❑X N/A operational? <br /> ❑X Yes ❑No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary <br /> containment monitoring system detects a leak, fails to operate,or is electrically disconnected?If yes:which <br /> ❑N/A sensors initiate positive shut-dawn?(Check all that apply) <br /> ❑X Sump/TrenchSensors; X❑Disperser ContainmentSersors. Didyouconfirm positive shut-down <br /> due to leaks and sensor failure/disconnection? <br /> _ Q_ Yes; ❑No. <br /> ❑ Yes ❑Noe Fortank systems that iAilize the monitoring system as theprimary tank overfill warning device(i.e.no <br /> mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the <br /> N/A tank fill point(s)and operating properly?If so, at what percent of tank capacity does the a larm trigger? <br /> ❑Yes* ❑X' No Was any monitoring equipment replaced?If yes,identify specific sensors,probes, or otherequipment <br /> re laced and list the manufacturer name and model for all replacement parts in Section E,below. e[]yes. 0! No Was 1 liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)product, ❑Water.If yes,describe causes in Section E,below. <br /> ❑X Yes ❑No* was monitoring system set-up reviewed to ensure proper settings?Attach setup repots,if applicable <br /> _❑X Yes _ --❑No*— all monitoring equipment operational per manufacturer's specifications? <br /> *In SecaronE below,describe how aid when thesede8dencioswom orwill be corrected. _���--- <br /> E Comments: <br /> Other sensor from page one' <br /> L14 Motor Oil Annular 794390-420: Certified. <br /> L15 Vent Sump 794380-208: Certified. <br /> Both the Unleaded UST and the Diesel UST are equipped with mechanical overfill prevention valves. <br />