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Site Address: SS#2130,7906 N. EL DORADO STREET,STOCKTON Date of Testing/Servicing: ✓y`��G <br /> D. Results of Testing/Servicing <br /> Software Version Installed: 1 f—, 6(,- I <br /> Complete the following checklist: <br /> e ❑ No* Is the audible alarm operational? <br /> es ❑ No* Is the visual alarm operational? <br /> ® Y ❑ 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 will <br /> not interfere with their proper operation? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) <br /> /A operational? <br /> es ❑ 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) imp/Trench Sensors; [2-Di-spenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? @'qi�es; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoringsystem as the primary tank overfill warning device (i.e. no <br /> /A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fillpoint(s)and operating_ ro erl ? If so,at what percent of tank ca aci does the alarm trigger? ????% <br /> ❑ Yes* o 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* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)171Product; ❑ Water. If yes,describe causes in Section E,below. <br /> Ye ❑ No* Was monitoring system set-up reviewed to ensure proper settings? <br /> es ❑ No* Is all monitoring equipment oerational per manufacturer's specifications? <br /> *In Section E below,describe how and when these deficiencies were or will be corrected. <br /> E. Comments: %L S 3 S"L rip (Jrt <br /> Page 2 of 3 03/01 <br />