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D. Results of Testing/Servicing Software Version Installed: :om Aets the following checklist: 0 Yes ❑ No' Is the audible alarm operational? ® 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 communications 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 detects a ❑ N/A leak, fails to operate,or is electrically disconnected? If yes:Zvhich sensors initiatepositive shut_dov n 1Check al/that apply)_ ®_ Sump/french Sensors; ®Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ®Yes; ❑No___________________ ❑ Yes ❑ No' For lank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.,no mechanical overfill prevention valve is ® N/A 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 ❑ 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' ❑ 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 ensure proper settings?Attach set up reports,if applicable ® Yes ❑ No' Is all monitoring equipment operational per manufacturers specifications? In Section E below,describe how and when these deficiencies were or will be corrected. E. comments: LITTLE DSL FUEL FOUND IN DISP 1-2,CLEANED GUT.- Monitoring System Certification Page 2 of 4 2/21/07