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10/01/2009 20:13 FAX 925 422 2748 WGMG IM 009/011 <br />monitoring System Certification <br />D. Results of Testing/Servicing <br />Software Version Installed. NA <br />0 Yes 10 <br />NO <br />Is the audible alarm operational? <br />0 Yes <br />[3 No* <br />Is the visual alarm Operational? <br />0 Yes <br />M NO* <br />Were all sensors visually inspected, fimcdonally Wed, and confirmed ? <br />N Yes <br />r-1 No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that Other CquIPIDEnt <br />will not interfere with their proper operation? <br />54 Yes <br />[I No* <br />If Warms are relayed to a remote monitoring station, is all communicutions equipment modem) <br />0 N/A <br />Operational? <br />C3 Yes <br />0 No* <br />For pressurized piping systems, does the ftabine automatically shut down if the piping secondary containment <br />10 N/A <br />monitoring system detects a leak fads to Operate, or is electrically dLwonnected? If yew. which sensors initiate <br />positive shut -down? (Check- all that apply) 11 SumplTzench Sensors; El Dispenser Containment Sensors. <br />Did you confirm positive sbut-down due to leaks and sensor f1iihire(discmection? 13 Yca, 11 Na. <br />0 Yes <br />0 No* <br />For tank system that utilize the monitoring system as the primary tank ovelffil warning device (i.e., no <br />0 N/A <br />mechanical overfill prevention valve is bistalled), is the overfill warning alarm visible and audible at the tank <br />SII point(s) and operating properly? If $0, at what percent Of tank capacitY does the alarm trigger? % <br />C3 Yes* <br />0 No <br />Was any momioring equipment replaced? if yes, identify specific msors, pmbes, Or Othff equipment <br />I <br />replaced and list the manufacturer name and model for all replacement parts in Section E, below, <br />El Yes* <br />0 No <br />Was liquid found inside am secondary containment systems designed as dry systems? (Check all that apply) <br />0 Product, 0 Waters if yes, desmU causes in Section E, below. <br />0 yes <br />E3 No* <br />was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />0 Yes <br />0 Nu* <br />is an monitoring equipment operational per manufacturer's specifications? <br />P <br />E. Comments: <br />This tank has a mccba-alcal overfill drop tube. Monitoring SYSICIn has no printer. <br />This is an Emergency Generator Tank suCfiOA System <br />Page 2 of 3 <br />