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08/14/2012 20:38 (209)465-4988 MaryAnn Henderson Page 4/19 <br /> Monitoring System Cerfificatin 0 <br /> D. Resufts of Testing/Servicing <br /> Software Version Installed: 329.01 <br /> complate the following checklist: <br /> •Yes 0 No* Is the audible alarm operational? <br /> •Yes 0 No* Is the visual alarm operational? <br /> •Yes 0 No* Were all sensors visually inspected,functionally tested,and confirtned operational? <br /> • Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will <br /> not interfere with their proper operation?_ <br /> n Yes 0 No* If alarm are relayed to a remote monitoring station, is all communications equipment (e.g., modern) <br /> 0 N/A operational? <br /> 0 Yes 0 No* For pressurized piping systems,does the turbine automatically shut down ifthe piping secondary containment <br /> E] N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply) 0 Sumpfrrench Sensors; []Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failureldisconnection? 9 Yes; [I No. <br /> n Yes 0 No* For tank systems that utilize the monitoring system as the primary Mirk overfill warning device (i.e., no <br /> 0 N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> frll point(s)and operating properly9 If so,at what percent of tank capac! does the alarm trip % <br /> 0 Yes* N No Was any monitoring equipment replaced? Ifyes,identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for atjreplacement parts in Secti E,below. <br /> _ on <br /> 0 Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> [I Product; []Water. If yes,describe causes in Section E,below. <br /> E9 Yes 0 No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if 9plicable <br /> 0 Yes 0 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 correctedL <br /> E. Comments: PREMIUM-DIESEL ANNULAR SHARED <br /> Page 2 of 3 <br />