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n itoring System Certification <br /> Site Address 3212 N. CALIFORNIA Date of Testing/Service: 02/23/2010 <br /> Coil ALPINE AVE. PTO#N-79 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 329.00 <br /> Complete the following checklist: <br /> X Yes F1 No Is the audible alarm operational? <br /> Q Yes No• Is the visual alarm operational? <br /> Q Yes Fj No Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> a Yes ❑No interfere with their proper operation? <br /> Yes No x N/A If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑x Yes ❑No' ❑N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) ❑X Sump/Trench Sensors; ❑X Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks Wd sensor failure/disconnection? ❑x Yes No <br /> ❑ <br /> X Yes No• N/A 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 alarm visible and audible at the tank fill points(s)and operating <br /> properly? If so,at what percent of tank capacity does the alarm trigger? 90 <br /> FYes• ❑No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> ❑X Yes' ❑No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> ❑X Water. If yes,describe causes in Section E,below. <br /> ❑X Yes ❑No• Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. <br /> ❑ Yes ❑No• Is all monitoring equipment operational per manufacturers'specifications? <br /> In Section E below,describe how and when these deficiences were or will be corrected. <br /> E. Comments: <br /> WATER IN 87/SYPHON STP SUMP AND IN DISP.#7/8(TOTAL OF 1 GALLON)PUMPED OUT AND DISPOSED OF HAZARDOUS WASTE DRUM <br /> UNSI I In.ALbU REPLAC;EL)61MAIN 6 1 F,�;UMP bEN6C)K (VI=tL)I=K-H0U I MODEL#323 VVI I H NEW VELULK KU0 I SENSUK MULL#323 <br /> Page 2 of 3 Based on CA form dated 03/08 <br />