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_09/18/2002 09:46 120936F'943 TANKNOLOGY PAGE 10/11 Monitoring System Cert=ification Site Address' 1987 W EST 11TH Date of Testing/Gervice: 09/16/2002 Results of Testing/Servicing software V9rzion Ir:;ra1'_ef23 Cam➢lete the following checklist: x Yes No Is the audible alarm operational? L,1 Ye? 17 No Is the visual alarm operational? Q Y^_s M No Were all sensors visually inspected,functionally tested,and confirmed operational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Ye= 0 No interfere with their proper operation? Yes r,c r!1a If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? For pressurized piping Systems,does the turbine automatically shut down if the piping secondary containment Yr.: Nc ❑ria monitoring system detects a leak,fails to operate,or Is electrically disconnected?If yes:which sensors initiate positive shutdown?(check all that apply) Q sump/french Sensors; ® Dispenser Containment Sensors. Did you confirm positive shutdown due to leaks a13 1 sensor failure/dlsconnectlon? ❑x Yat. No Y he `�� For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical © ❑ ❑ overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 91 t ElYC!; ❑No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the LJ manufacturer name and model for all replacement parts In Section E,below_ ❑ Yc� Nc Was liquid found Inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; ❑ Water. It yes,describe causes in Section E,below. © Yes ❑No Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable. © Yes 0 tae Is all monitoring equipment operational per manufacturers'specifications? Lon F below, describe how and when these deficiencns were ox will be correct*d.. E. Commenta: North PLLD on Reg is not testable at this time. Sensors in the Dispenser pans are not place correctly,Brackets not installed yet. I am certifying the sensors trip and shut down turbine as programed with the exception of the North PLLD on reg at this time. page 2 o: 3