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Monitoring System Certification <br /> Address:3425 TRACY BLVD TRACY 953761722 Service Date:01/09/2009 <br /> D. Results of Testing/Servicing <br /> Software Version Installed:328.03 <br /> Complete the fol owina checklist: <br /> ®Yes ❑No* Is the audible alarm operational? <br /> ®Yes ❑No* Is the visual alarm operational? <br /> ®Yes ❑No* Were all the sensors visually inspected,functionally tested,and cofirmed operational? <br /> ®Yes ❑No* Were all sensors installed at lowest point of secondary containment and positioned so that other <br /> ui ment will not interfere with their proper operation? <br /> ❑Yes ❑No* If alarms are relayed to a remote monitoring station,Is all communications equipment(e.g.modem) <br /> operational? <br /> ®N/A <br /> ®Yes ❑No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary <br /> containment monitoring system detects a leak,fails to operate,or is electrically disconnected? <br /> If yes:which sensors <br /> initiate positive shut- ®Sump/Trench Sensors ®Dispenser Containment Sensors <br /> ❑N/A down?: <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ®Yes ❑No <br /> ®Yes ❑No* For tank systems that utilize the monitoring system as the primary tank overfill waming device(i.e. no <br /> mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the <br /> ❑N/A ton®fill point(s)and operating properiy?lf so,at what percent of tank capacity does the alarm trigger?: <br /> ❑Yes* ®No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment <br /> replaced and list the manufacturer name and model for all replacement parts in Section E below. <br /> Was liquid found inside any secondary containment systems designed as dry systems? <br /> 11 Yes* ®No If yes,check the type(s)of liquid found and describe causes in Section E,below. ❑product ❑Water <br /> ®Yes ❑No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> M Yes ❑No* I is all monitoring equipment operational per manufacturers specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments <br /> Page 2 of 4 <br />