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From:Wendell Gayer Fax:(714)5762499 To:2094683433@rcfax.con Fax: +12094683433 Page 2 of 12 0912812016 9:11 AM <br /> D.Results of Testing/Servicing <br /> RECEIVED <br /> Software Version Installed: 120.02 <br /> SEP 2 8 2016 <br /> Com tete the fallow in checklist: <br /> ................_..__.._,.-els the audible alarm operational?, ur � :�_,..___m_.._......:_........_........__.._. ..._......_._...._..._......_____ .____ <br /> © Yes 1� ❑No* <br /> ® Yes ❑No* Is the visual alarm operational? _ nEP ELIMENT1 <br /> _X❑ Yes_ ❑No* Were all sensors visually inspected,functionally tested,and confirmed operational? I <br /> X❑ <br /> - <br /> Yes ❑No*_ Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> ¢� I will not interfere with their V WY <br /> II <br /> i� propero ration? <br /> 3 � �x�ba xrea�at evaa�nre <br /> ❑ yes ❑No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g.modem) <br /> i� 0 N/A operational? <br /> !3 0 Yes ❑No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary <br /> ¢� ❑N/A containment monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which <br /> sensors initiate positive shut-dawn?(Check all that apply) <br /> !!I M Sump/Trench Sensors; Q Dispenser ContainmentSenscrs. Did you confirm positive shut-down <br /> t due to leaks and sensor failure/disconnection? <br /> Yes; [:]No. <br /> ❑ Yes - ❑No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no _ <br /> mechanical overfill prevention valve is installed),is the overfill waming alarm visible and audible at the <br /> ©N/A tank till point(s)and operating properly?If so,at what percent of tank capacity does the alarm trigger? <br /> ❑Yes* rX-1 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 contain replacement parts in Section E,below. <br /> * :•::._ .....__._.__.... _� _ Wash rd farad inside _ _ W__._._.._.___ _ <br /> ❑Yes ❑X No anY secondary containment systems designed as dry systems? (Check all that <br /> € apply) ❑Prodact;—❑Water.If yes,describe causes in Section E,below. <br /> Q Yes ❑No* Was monitoring system set-up reviewed to ensure proper settings?Attach setup reports,if applicable <br /> FX Yes ❑ * Is all mcanitor�.�....ement oy-____.._.____......__._..._.__.....__.._..___._...__._._..._..__..___.__...__.._.._._�.__............+. <br /> X Yes No � qmP P____..__._.._._.__.._.�...._.__._.....__._.._..._._...._._____.....______._._._._....._._____.___._.._ <br /> W erational per manufacturer's specifications? <br /> *In Section E below, describe how and when these deficiencies were orwill be cometed <br /> E. Comments: <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 />