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s • � <br /> MonitDring System Certification <br /> Site Address: 425 TRACY BLVD - I Date qfTestin ervicrn /L D. Results of Testing/Servicing <br /> I Software Version Installed: <br /> Com fete the follo ing checklist: <br /> Yes <br /> No* Is the audible alarm o erational? <br /> YlIffs No* 'Is the visual alarm operational? <br /> Y No* Were all sensors visually inspected,functional!y tested, and confirmed operational? <br /> as No* Were all sensors installed at lowe stp oint of secondary containment and positioned so that other equipment will <br /> not interfere with their prop er o2 enation? <br /> Yes * If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> VNIA operational? <br /> es No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> NIA monitoring system detects a leak fails to operate, or` electrically disconnecte f yes: which sensors initiate <br /> positiveshut.down? (Check all that apply) pl.TrenchSensors; rspenserContainment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failureldisconnection? No. <br /> es No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br /> NIA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill oin s and operating ro erl If so, at what 2excent of tank capacity does the alarm trigger? ....% <br /> Yes* o Was any monitoring equipment replaced? If yes,identify specific sensors,probes, or other equipment replaced <br /> and list the manufacturer name and model for allre lacement. arts in Section E,below. <br /> Yes* WNo Was liquid found inside any secondary containment systems designed as dry systems? (Check all y).. <br /> Product; Water. If es, describe causes in Section E,below. <br /> s No* Was monitoring system setup reviewed to ensure. ro er settings? <br /> Yes No* Is all monitorin a ui mentoperational 2ermanufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or wiIlbe corrected. <br /> —-------------__.--------------- <br /> E. Comments: <br /> r <br /> Page 2 of 3 03.01 <br />