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Monitoring System Certification <br /> Site Address:_ 0595:6100 N HWY 99,STOCKTON,CA 95212 Date ofTestaa.. - - v '— <br /> - ` • - <br /> D. Results of Testing/Servicing <br /> - <br /> oftwa--re-_.—V �_ <br /> ersion_.lnstallad:_-_..____.----__-_-- .._.-.._....___�_._.__-, <br /> S J,�, �� <br /> Complete the follow checklist: <br /> es No* I Is the audible alarm operational? <br /> es b No* Is the visual alarm operational? <br /> es No* I Were all sensorsvisually inspected,functional) tested,and confirmed o erational? <br /> es No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> /A operational? <br /> es No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> y NIA monitoring system detects a leak,fails to operate or is electrically disconnec ed? If yes: which sensors initiate <br /> positive shut-down? (Check all thatapply)operate- <br /> rspenserCo ainmentSensors. <br /> Did you confirm positive shut-down due to leaks Md sensor failureldisconnection? es; M No. <br /> Yes a No* For tank systems that utilize the monitoring system as the primary twik overfill warning device (Le. no <br /> �T/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oin s and operating properly? If so, atwhat ercent oftankcapaLcity does the elarmtri ee? . . . .°Yo <br /> Q Yes* No I Was any monitoring equipment replaced? If yes,identify specific sensors,probes, or other equipment replaced <br /> and list the manufacturer name and model for all re iacement parts in Section E,below. <br /> El Yes* ONo Was liquid fotandinside any secondary containment systems designed as dry systems? (Check all reapply) <br /> LProduct; MWater. If yes, describe causes in Section F,below. <br /> "es [] No* Was monitoring system set.up reviewed to ensure proper settings? <br /> 11 Yes M No* I Is all monitoring a ui menta erational permanufacturer's specifications? <br /> *In Section E below,descrhe how and when these deficiencies were or will be corrected. <br /> E. Comments: <br /> Page 2 of 3 0101 <br />