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itoring System Certification is <br /> Site Address: 401 W. KETTLE AN LANE Date of Testing/Service: 02/04/2003 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 122.00 <br /> Complete the following checklist: <br /> x Yes No* Is the audible alarm operational? <br /> ® Yes No* Is the visual alarm operational? <br /> ® Yes No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ® <br /> Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Yes ❑No* interfere with their proper operation? <br /> Yes No" N/A If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ® Yes ®No* ®N/A monitoring system detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive <br /> shut-down?(check all that apply) ® Sump/Trench Sensors; ❑ Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ®Yes No <br /> E] Yes ❑No* ®N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.:no mechanical <br /> overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s)and operating <br /> properly? if so,at what percent of tank opacity does the alarm trigger? <br /> ® Yes* ®No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the <br /> manufacturer name and model for all replacement parts in Section E,below. <br /> ® Yes* ®No Was liquid found inside any secondary containment systems designed as dry systems?(check all that apply) ❑Product; <br /> El Water. If yes,describe causes in Section E,below. <br /> ® Yes ❑No* Was monitoring system set-up reviewed to ensure proper settings?Attach set-up reports,if applicable. <br /> ® Yes ❑No* Is all monitoring equipment operational per manufacturers'specifications? <br /> *In Section E below,describe how and when these deficienc es were or will be corrected. <br /> E. Comments: <br /> NO SHUTDOWN FOR EITHER SENSOR OUT OR SHORT CONDITIONs. <br /> page 2 of 3 <br />