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Monitoring System Certification - Page 2 of 3 <br />HEGEIVED, <br />JUN 2 6 2015 <br />Site Address: 2448 W. Kettleman Ln. _ &1ff6TNWft 5/28/15 <br />nrpnpTA IC*1'r <br />D. Results of Testing / Servicing <br />Software Version Installed- 122.00 <br />Complete the followine checklist: <br />0 Yes <br />❑ No* <br />Is the audible alarm operational? <br />® Yes <br />❑ No* <br />Is the visual alarm operational? <br />® Yes <br />❑ No* <br />Were all sensors visually inspected. functionally tested, and confirmed operational? <br />® Yes <br />❑ No* <br />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 />0 Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />❑ N/A <br />operational? <br />D0 Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shirt down if the piping secondary containment <br />❑ N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shut -down? (Check all that apply) ® Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ® Yes ❑ No <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />0 N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 0 % <br />❑ Yes* <br />® No <br />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 replacement parts in Section E, below. <br />❑ Yes* <br />® No <br />Was liquid found inside any secondary containment systems designed as dry systems? ((.,heck all that apply) <br />❑ Product; ❑ Water. If yes, describe causes in Section E, below. <br />® Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set -tip reports, if a plicable. <br />N Yes <br />O No* <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section F below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: Replaced Diesel Annular Sensor (794390-409) - Re -Tested & Passed. <br />Replaced TLS Battery for PM purposes. <br />