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APR -26-2012 09:19 Service Station Systems <br />Monitoring System Certification - Fage of 3 <br />Site Address: 2701 March Ln. <br />D. Results of Testing / Servicing <br />Software Version Installed. 330.02 <br />408 938 8888 P.04 <br />Date of Testing/Servicing: 3129112 <br />\.U115 )GIC Luo auuvliar. Ga F4 Hasa. <br />m Yes 13 No* Is the audible alarm operational? <br />a Yes E3 No* Is the visual alarm operational? <br />® Yes ❑ No* Were all sensors visual) ins ted, functionally tested, and confirmed o erational? <br />® Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br />not intcrfrre with their proper o cra6on? <br />0 Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br />M N/A <br />o tional? <br />a Yes <br />❑ No* <br />For pressurized piping systems, docs the turbine automatically shut 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) 11 Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br />Did you confirm Eositive shut -down due to leaks and sensor failureldisconnection? x Yes O No <br />® Yes <br />a 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 />fillpoint(s) and operating ro erl ? If so, at what percent of tank capacity does the alarm rriggeO 90 % <br />2 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 re lacement parts in Section E, below. <br />0 Yes* <br />© No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br />0 Product; 11 Water. If yes, describe causes in Section E, below. <br />0 Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set -tip re nrm i a licable. <br />11 Yes <br />1 ❑ No* <br />is all monitoring equipment operational per manufacturer's specifications? <br />* In Section <br />E below. describe how and when these deficiencies were or will be corrected. <br />E, Comments; Replaced 91 MLLD. Re -tested and passed. <br />Removed liquid from 91 STP Sump. <br />