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GIErTLER-RYAN INC. GR Job # 20-630008 D. Results of Testing/Servicing ALGEIVLL) Software Version Installed: 330.01 MAR 11 2015 Complete the following checklist: Yes ❑ o 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 communication 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 ❑ N/A detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check all that apply) Ca Sump/Trench Sensor; ra Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks and sensor failure/disconnection? (y Yes; ❑ No. Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention ❑ N/A 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? 90 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 insure proper settings?Attach set-up reports,if applicable. Lg Yes ❑ No' I Is all monitoring equipment operational per manufacture's specifications? In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: All 794380-304 sensors @ fill sumps,stp sump,vent box&UDC were tested for audible visual &positive shutdown. Test Pass Replace vent box sensor 794380-323 to a 794380-208(approved by the inspector)Sensor fail to go into fuel alarm. New sensor tested & pass. Monitoring System Certification Page 2 of 4 12107 2