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Monitoring System Certification► <br /> Site Address: !6080:85 E LOUISE AVENUE,LATHROP,CA 95330 Date of TestingJServicing. <br /> D. Results of Tsstinoervicing <br /> -Software V ersioa Installed. <br /> Complete the fo1lo checklist: <br /> Q No* I Is the audible alarm operational? <br /> �*J No* Is the visual alarm operationeV <br /> No* Were atl sensors visually inspected,functio testa and confirmed operational? <br /> YasNo" Were all sensors installed at.lowest point of secondary containment and posifioned to that other equipment will <br /> not interfere with their proper operation? <br /> Yes . N * If alarms are relayed to a remote monitoring station, is all co cations equipment (e.g. modem) <br /> /A operational? <br /> es No* For pre ssutized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> WA monitoring system detects a leak,fails to operate, electrically disconnects If yes: which sensors initiate <br /> positive shut-down? (Check allthatapply) /Trench Sensors; 1'spenser ContaipmentSensors. <br /> Did you conf m positive shut-down due to leaks Its sensor failure/disronnection? s; M No. <br /> Yes N * For tank systems that utilize the monitoring system as the primary tank ovetfll 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 /> M p oint s and op exating properl If so at what p ercent of tank c ap acity does the alarm trigger? . . . .% <br /> es* No Was any monitoring equipment replaced? if yes,identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for ell replacement parts in S e ction E,below. <br /> Yes" No Was liquid found inside any secondary containment systems designed as dry systems? (Check all6Wgply) <br /> Product• M Water. If yes,describe causes in Section E,below. <br /> s No**-71 <br /> Was monitoringsystem get u reviewed to ensure r er settin s? <br /> Yes No* Ts all monitorin a aw mento erational permanufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be cerrectet. <br /> E.Comments: <br /> lc�c L D a Ooo <br /> Am -S A, <br /> n <br /> I <br /> i <br /> i <br /> Page 2 of 3 03x01 <br />