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Monitoring System Certification <br /> Site Address: 2448 W. KETTLEMAN LN <br /> Date of Testing/Service: 09/04/2002 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: <br /> Complete the following checklist: <br /> X Yes No Is the audible alarm operational? <br /> Q Yes No• Is the visual alarm operational? <br /> Yes No• Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> Q Yes ❑No Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> 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 /> © 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 SumpfTrench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks atd sensor failure/disconnection? <br /> ❑ YesX <br /> Yes O No• N/A the monitorin <br /> No <br /> ❑X For tank systems that utilize g 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? oho <br /> © <br /> El Yes* 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 /> 0 Yes* ©No Was liquid found inside any secondary containment systems designed as dry ( pp <br /> systems? check all that a I <br /> El Water. If yes,describe causes in Section E, below. <br /> y y) ❑Product; <br /> © Yes [_1 No• Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. <br /> © Yes r-1 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 /> SITE HAS POSTIVE SHUTDOWN ON TURBINE SUMPS ONLY. <br /> page 2 of 3 <br />