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CTETTLER-RYAN INC. <br />D. Results of Testing/Servicing <br />Software Version Installed: 333.05 <br />Complete the followina checklist: <br />r <br />es <br />[1 o <br />Is the audible alarm operational? <br />li <br />Yes <br />❑ No* <br />Is the visual alarm operational? <br />rx <br />Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />E <br />Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their <br />proper o Brat n? <br />[j <br />Yes <br />❑ No* <br />If alarms are relayed to a remote monitoring station, is all communication equipment (e.g. modem) operational? <br />N/A <br />Y <br />Yes <br />No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system <br />N/A <br />detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check a# that apply) <br />G SumpfTrench Sensor; E Dispenser Containment Sensor. Did you confirm positive shut -down due to leaks and sensor <br />failure/disconnection? [j Yes; ❑ No. <br />ji <br />Yes <br />[3 No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention <br />❑ N/A <br />valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent <br />of tank capacity does the alarm trigger? 90 % <br />r,tt <br />Yes <br />❑ No <br />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 />-6 <br />—Yes <br />F, No <br />Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; O Water. If <br />yes, describe causes in Section E, below. <br />[Z <br />Yes <br />® No` <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />li <br />Yes <br />❑ NW <br />Is all monitoring equipment operational per manufacture's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />Replace all annular sensors like for like 794390-409 (PM work) tested for audible, visual <br />& positive shutdown. Test Pass <br />Monitoring System Certification Page 2 of 4 12/07 <br />0 <br />