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JAN-11-2005 21:13 777"V1'iC5 STATIOtl SYSTEM 409 971 0135 P.03 <br /> Monitoring System Certification-Oe 2 of 3 <br /> Site Address: 341 E.Main St.@ Hwy.99 Date of Testing/Servicing: 1218104 <br /> D. Results of Testing J Servicing , <br /> Software Version Installed: 119.02 <br /> Complete the following checklist: <br /> es p o a e alarm operational? <br /> A es Mann operational? <br /> tg Yes p o Were ill sensors vas- y inspecte , unctionally tested,and confirmed operatic <br /> ❑ es -1-917o*— Were sensors installed at lowest point o secondary Containment and positionso at o er equipment will <br /> not intemfere with their proper operation? <br /> FIX-7e—s . <br /> ❑ oIf alarms are relayed to a remote monitoring station,is 611 communications equipment e.g.mo em <br /> C] N/A operational? <br /> t4 Yes to * For pressurized piping systems,does the turbine automatic y s ut Mi i e piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails,to operate,or is electrically disconnected? if yes: which sensors initiate II <br /> positive shut-down?(Check all that apply) 9 Sump/Trench Sensors; ❑Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? g'Yes []No <br /> p Cs 70-77- or tan systems that utilize ac arionat.oriit;system as theprimary tank overfill warning device i.e.no <br /> N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fall point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 4 % <br /> es --j-3-Wo— as Hymomtonng equipment replacedY If yes,identify specific sensors,proes,aro er equipment replaced <br /> and list the manufacturer name and model for all replacement parts in Section E,below. <br /> ij es ❑No as o mnsm a any secomlaq containment systems designed as dry systems. ?Me-k5111 tapp y <br /> a Product; 11 Water. If yes,describe causes in Section E,below. <br /> Yes o as monitoring system set-up reviewed to ensue proper settings.(Attach set-up reports, if applicable.) <br /> in es p o s all momtonng equipment operational per maTmracturces sic acations. <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: Premium turbine relay was stuck closed, replaced with new. Found dispffi 6 had about 5 <br /> gallons of water and sensor not in correct position, pumped out water.Took pictures for <br /> inspector <br />