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MAR-18-2009 11:13 Service Station Systems 408 938 8888 P.04 <br /> Monitoring System Certification-P*of 3 <br /> Site Address: 401 W.Keitleman Ln.{a Hutchins Date of Testing/Servicing: 2124/09 <br /> D. Results of Testing/Servicing <br /> Software Version Installed• 122.00 <br /> Com late the following checklist: <br /> M Yes A No* Is the audible alarm operational? <br /> q Yes o No* is the visual alarm operational? <br /> ra Yes O No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> M Yes O Nos Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation? <br /> p Yes p No* If alarms are relayed to a remote monitoring station, is all communications equipment(e.g.modem) <br /> 0 N/A o erational? <br /> Q Yes Q No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ® N/A 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) to Sump/Trench Sensors; 8 Dispenser Containment Sensors. <br /> Did you confirm 22sitive shutdown due to leaks and sensor failure/disconnection? M Yes O No <br /> d Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> t8 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill points)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 0 % <br /> M Yes* ® No Was any monitoring equipment replaced?If yes, identify specific sensors,probes,or'other equipment replaced <br /> and list the manufacturer time and model for all replacement parts in Section E,below. <br /> 0 Yes* 12 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ® Product;0 Water. If yes,describe causes in Section I,below. <br /> U Yes 13 No* Was monitoring gstem set-up reviewed to ensure proEE settings? Attach sit-up re orts i a lfcable. <br /> M Yes ® No* Is all monitoring equipment operational per manufacturer's specifications? <br /> * <br /> In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Replaced T187 Leak Detector. <br />