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Sep 04 09 07:59a Reliable PetroleumA 209-845-8953 p.3 <br /> Y Monitoring System Certification <br /> D. Results of Testing/Servicing <br /> Software Version installed: 16.04 <br /> —Complete the foliowin checklist: <br /> E Yes p No* Is the audible alarm operational? <br /> E Yes ❑ No* Is the visual alarm operational? <br /> E Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> 0 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 /> ® 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) E SumplTreneh Sensors; E Dispenser Containment Sensors. <br /> Did you confirm positive shut-down due to leaks and sensor failure/disconnection? IQ Yes; ❑No. <br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.c., no <br /> E N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill points)and operating properly? If so,at what percent of tank capacity does the alarm trigger? 90% <br /> ❑ Yes* 11 No 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* ® 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 /> E Yes [l No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> Ln Yes M No* is all monitorinequipmento erational 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 87 Octane'fank Mwas rep ace wrt a w e or i e <br /> e ctane an was rep ace w't a OM 11 a a <br /> inspector pert-ormed witness test on site. <br /> Page 2 of 4 <br /> UN-M—2/4 w•ww.usidomorg <br /> Rev.U ti 171Q8 <br />