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00"'ECEIVEL) Monitoring System Certification-Page 2 of 3 EB 2 2 2016 Site Address: 1960 W.11th St Dat6 1Tia!SPAR AP��'T D. Results of Testing/Servicing Software Version installed. 329.01 Complete the foil ing checklist: N Yes ❑ No* Is the audible alarm operational? 0 Yes ❑ No* Is the visual alarm operational? Im Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? 1 Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? M Yes ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) ❑ N/A operational? N Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment ❑ N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate positive shut-down? (Check all that apply) ® Sump/Trench Sensors; is Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? N Yes ❑No ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no a N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fillpoint(s)and o eratin properly? If so,at what Rercent of tank capacity does the alarm tri er? 0 % ® Yes* ❑ No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E,below. ❑ Yes* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product;❑ Water. If yes,describe causes in Section E,below. 0 Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set-tip reports, ff applicable.2 D Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? *In Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: Testing was conducted for both the Diesel Conversion Permit Final and is also to be used for the Annual Monitor System Certification. Emergency Shut off switches tested and passed Drop Tubes had Flappers Replaced Diesel Annular Sensor and retested with the inspector on site Returned on 215/16 to Program the 01 to Premium and the Q3 to Diesel as they were not matching with the Tank Set Up. Notified the Inspector of the change in programming.