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Monitoring System Certification Address: 345 N. SAN JOAQUIN STOCKTON 95202 D. Results of Testing/Servicing Software Version Installed: 123.01 Complete the fol owina checklist: Service Date: 05/13/2010 ® Yes ❑ No* Is the audible alarm operational? ® Yes ❑ No* Is the visual alarm operational? ® Yes ❑ No* Were all the sensors visually inspected, functionally tested, and cofirmed operational? ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ® Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? ❑ N/A ❑ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut- ❑ Sump/Trench Sensors ❑ Dispenser Containment Sensors M N/A down?: Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes ❑ No ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the ® N/A tank fill point(s) and operating properly?If so, at what percent of tank capacity does the alarm trigger?: ❑ Yes* M No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E below. Was liquid found inside any secondary containment systems designed as dry systems? El Yes* ®No If yes, check the type(s) of liquid found and describe causes in Section E, below. ❑ Product ❑ Water ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable M Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments Other sensors from Page 1: L3 Middle Sump sensor 794380-208 - Certified L5 Supply #1/Supply #2 Fire Box sensor 794380-208 - Certified L6 Vent/Return Fire Box 794380-208 - Certified Overfill Prevention Valve is installed in the drop tube Monitoring System Certification Page 2 of 4 12/07 2 2/21/07