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Monitoring System Certification <br /> Site Address: Site 300-Bldg. 882, Corral Hollow Road, Tracy, CA 95376 Date: 9-21-2005 <br /> D. Results of Testing/Servicing <br /> Software Version Installed: NA <br /> Complete the following checklist: <br /> ■ Yes ❑ No* Is the audible alarm operational? <br /> ■ Yes ❑ No* Is the visual alarm operational? <br /> ■ Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ■ Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> will not interfere with their proper operation? <br /> IS Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> ❑ N/A operational? <br /> ❑ Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ■ 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) ❑ Sump/Trench Sensors; ❑Dispenser Containment Sensors. <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 /> ■ N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating ro erl If so,at what percent of tank La aci 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 replacement parts in Section E,below. <br /> ❑ Yes* ■ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) <br /> ❑Product; ❑Water. If yes,describe causes in Section E,below. <br /> ■ Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settin s?Attach set Lip reports,if applicable <br /> ■ Yes ❑ NoTT 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 /> The tank has a mechanical overfill drop tube. This is a suction system. No printer. <br /> Remote alarms were verified to engineering department. <br /> Page 2 of 3 03/01 <br />