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Monitoring System Certification <br /> Address: 10 E. 12TH ST. TRACY 95376 Service Date: 05/25/2010 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 121.00 <br /> Complete the followinA checklist: <br /> ' ®Yes ❑No` Is the audible alarm operational? <br /> ®Yes ❑No" Is the visual alarm operational? <br /> .ZYes ❑ 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 /> equipment will not interfere with their proper operation? <br /> I*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 shutdown 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 /> 9 N/A tank fill point(s)and operating properly?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 re lacement parts in Section E below. <br /> Was liquid found inside any secondary containment systems designed as dry systems? <br /> ❑Yes" ®No If yes,check the type(s)of liquid found and describe causes in Section E,below. <br /> ❑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 from page 1: <br /> L4: Gen Room Floor 794380-208-Certified <br /> There is an overfill prevention valve installed in the drop tube. <br /> I <br /> l � <br /> L - I <br /> Monitoring System Certification Page 2 of 4 IMM <br />