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Monitoring System Certification <br /> Address: 124 W. ELM ST. LODI 95240 Service Date: 05/03/2011 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 122.00 <br /> Complete the fol owinq 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 /> e 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 warning device(i.e. no <br /> mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the <br /> ®N/A tank fill point(s)and operating properly?If so, at what percent of tank capacity does the alarm trigger?: <br /> ❑Yes* M 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 /> El 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 /> ®Yes ❑No* Is all monitoring equipment operational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments <br /> Other sensors from Page 1: <br /> (L4)Generator Room: 794380-208/Certified <br /> (L5)Fire Box: 794380-208/Certified <br /> An Overfill Prevention Valve is installed in the drop tube. <br /> Monitoring System Certification Page 2 of 4 12/07 <br /> 2 2/21/07 <br />