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T Monitoring System Certification-Page 2 of 3 Site Address: 2541 Jackson Ave. Date of Testing/Servicing: 7131118 i D. Results of Testing/Servicing Software Version Installed. 333.05 Com tete the folio 'ng checklist: Yes 10 No Is the audible alarm o erational? no Yes ❑ No* Is the visual alarm operational? ® Yes 13 No* Were all sensors visually ins ected,functionally tested,and confirmed operational? ® 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? Yes ❑ No* if alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem) ❑ N/A operational? IN 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) m Sump/Trench Sensors; ❑ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ® Yes ❑ No ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no ® N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tan Ok fill point(s)and operating roperly? If so,at what percent of tank capacity does the alarm trigger? ❑ Yes* ® No Was any monitoring equipment replaced?If yes,identify specific sensors,probes,om r other equipent replaced and list the manufacturer name and model for all replacement arts 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 es,describe causes.in Section E,below. Yes ii No* Was monitoringsystem set-up reviewed to esure ro er settings? Attach set-u re orts, f a licable. Yes 1 ❑ No* Is all monitoring equipment operational per manufacturer s specifications? *71n Section E below,describe how and when these deficiencies were or will be corrected. E. Comments: Replaced TLS Battery for PM Purpose. Estops-Tested&Passed. 91 STP Sensor Found Horizontal,Installed Means to Secure Sensor After Testing. Removed Liquid From 87,91 &Diesel STP Sumps. Adjusted Floats&Chains in UDC 1 -2 for R/U &Premium. Premium and Diesel are Split Tanks and Share Annular.