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SEP-17-2007 10:09 Service Station Systems 408 938 8888 P.03 <br /> Monitoring System Certification-Pag f3 <br /> Site Address: 2448 W. Kettleman Ln. aQ Lower Sacramento nate of Testing/Servicii,g: 5/29/07 <br /> D. Results of Testing/Servicing <br /> Software Version Installed, t 1 ja?, .O <br /> Com a the foliowin checklist: <br /> e - ❑ No* Is the audible alarm operational? <br /> es 1❑ No* Is the visual alarm operational? <br /> es ❑ No* Were all sensors visually inspected,functionally tested, and confirmed operational? <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 /> wlq—es ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g. modem) <br /> © N/A operational? <br /> es a No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak, fails to operate�is electrically disconnected" If yes: which sensors initiate <br /> positive shut-down? (Check all that apply) e'Sump/Trench Sensors; 17 Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? �©No <br /> ❑ 'Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> /A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fillpoint(s)and operating properly? If so, at what percent of tank capacity does the aiann trigger? % <br /> es ❑ No Was any monitoring equipment rcplaeed" if yes, identify specific sensom, probes, or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below_ <br /> ❑Yes o Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑ Product;Q Water. if yes,describe causes in Section E,below. <br /> es L] No* Was monitoringsystem set-up reviewed to ensure roper settings? Attach set-upreports, i 'a licable. <br /> s ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br /> * In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: r ! <br />