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AUG-21-2004 17:21 SERVICE STATION SYSTEM 408 971 0135 P.03 Monitoring System Certification-P: 2 of 3 Site Address: 6131 Pacific Ave. @ Porter Date of Testing/Servicing: 7126104 D. Results of Testing/Servicing Software Version Installed-119.02 Complete the following checklist: IN Yes p No* Is the audible alarm operational. es ❑ o s the visual alarm operations N Y es ❑ o Were all sensors visually inspected,functionally tested,and contirmed operationa A Yes ❑No* Were all sensors Ins-Mid at lowest point of secondary containment and position&T so Mat Mier equipment w111 not interfere with their proper operation? Fy-es— p o arms are relayed to a remote monitoring station, is all communications equipment e.g. modern) ❑NIA operational' I Yes O No* For pii_s—sunzed piping systems, does the turbine automatically shut aown iftlie pipuig sewn ary containment ❑N/A monitoring system detects a leak,fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown?(Check all that apply) ej Sump/Trench Sensors; ❑Dispeaiser CotitainmentSetisors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection') 1j Yes p No ❑Yes q 0 or tank systems that utilize m a monitoring systeas the primary tank overfill.Ferfill.warning device i.e.no pg N/A mechanical overfill prevention 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? 0 q es j§=o Was any monitoring equipment replace yes,Ue-Myy spec ne—sensors,probes,or other equipment rep aced , and list the manufacturer name and model for all replacement parts in Section E, below. ❑ es tg No Was liquia foundinside any secondary containment systems desipe-a as dry systems. (Check ail that apply) ❑Product; ❑ Water. If yes,describe causes in Section E, below. es ❑ o as monitoring system set-up reviewed to ensure proper settings. (Attach set-up reports, tf applicable) Yes p o s all monitoring equipment operational per manufacturer's spec ications. *In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: