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GETTLFA-RYAN INC. GR .lob# 20-600041 D. Results of Testing/Servicing Software Version Installed: 329.00 Complete the following checklist: [L- Yes ❑ o Is the audible alarm operational? [j Yes ❑ No' Is the visual alarm operational? Yes ❑ No' Were all sensors visually inspected,functionally tested,and confirmed operational? Yes ❑ No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their — proper operation? ❑ Yes ❑ No' If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? N/A Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment monitoring system ❑ N/A detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shutdown?(Check all that apply) ISE Sump/Trench Sensor; rE Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks anQ sensor failure/disconnection? ry Yes; ❑ No. Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention ❑ N/A valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If so,at what percent of tank capacity does the alarm trigger? —LO—% Yes ❑ No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑ Yes r, No Was 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. Yes ❑ No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,if applicable. Lq Yes ❑ No' Is all monitoring equipment operational per manufacture's specifications? In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: Replaced the overfill alarm box&the acknowledgment box. Fail the audible test &the re-set button was damaged. Re-testd & pass. Install 2 bucket shrouds on the 91 fill &band clamps Replace VR battery.All Functions Normal Monitoring System Certification Page 2 of 4 12107 2