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Nov 18 ,09 10:36a 209-367-5424 <br />Monitoring System Certification <br />A. Results of Testing/Servicing <br />Software Version Installed: ,j `t _ Lel <br />Complete the following checklist: <br />Z <br />�I Yes <br />❑ No* <br />Is the audible alarm operational? <br />Yes <br />Cj No* <br />Is the visual alarm operational? <br />Pff Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />JR Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary contaimnent and positioned so that other equipment will <br />not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />if alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) <br />N/A <br />operational? <br />Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />❑ N/A <br />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) gf SumplTrench Sensors; [[Dispenser Containment Sensors. <br />Did you confit -rd positive shut -down due to leaks and sensor failure/disconnection? ® Yes; ❑ No. <br />[$ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no <br />❑ N/A <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? <?r % <br />® Yes* <br />0 No <br />Was any monitoring; equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement parts in Section E, below. <br />❑ Yes* <br />a No <br />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 />29 Yes <br />❑ No* <br />Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable <br />Yes <br />ElNo* <br />in& a ui ment operational tmr manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. Comments: <br />Page 2 of 4 <br />UN -036 — 2/4 wwv.uuidoes ora, Rev. 03/31/08 <br />