COMPLIANCE INFO_2002-2005 - Laserfiche WebLink

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Msjdtoii�g System CerfiBoUdOx 0 0 ... ....... - bite Eiddress� 5450: I61'7VVFREMbNf, STOCKTON, CA 95203 Date of sun Software Version Installed: d .Ci Co fete the folbwim cheekUst: Yes No* Is the audible alarm operational? Yes No*. Isthe 'mai slam 024rational? Yes - No* Were all sensors visuallyiMected, function tested, and confirmedo2eretional? Yes No* —W—e:r—e an —sensors installed at lowest point of seconday containment and positioned so that other equipment will not jrxtetfete with their Eo2er eration? Yes No* If alarms are relayed to a remote monitoring station, is all communications eqiipmei:A (e.g. modem) MIA Yes No* For pressurized piping systems, does the turbine automatically shut down if the Pq=9second4Uy containment MIA monitoring system detects a leak, fails to operate, oris electrically disconnected? Ifyos: which'sensors initiate positive shut -down? (Check all that apply} JI Sump/Trench Sensors;.* Disp enserCmtaintnent Sens ocs. Did 3rou co positive shut -down due to leeks Xjd sensor felveldisconnection? JOY$$, No. ' 1 19 Yes —For —tw* systems that utilize the monitoring system as the primary tank oveiffil waning device (i.e. no MIA mechanical overfill prevention valve is installed), is the ovedill warning alum visible and audible at the tank fill 1point(s) and operating 2r2Ee:dy? If so, atwhatpercent of tank ca acity does the alemkigger'? ....% Yes- No —TTV—as any monitoring equipment replaced? If yes, identify specific sensors, probes, orother equipment replaced and list the manufacturer name and model for all reElacement parts in Section Ebelow. -— Yes* al No — Wasliquidfound inside any secondary containment systems designed as dry systems? {Check all Product' Iff Water. If yes, descnbe causes in Section E, below, Yes No* Was luonito6ng system set -2p reviewed to ensure 2!oper se s? yet; No* . Is al!�CM�Pment�operetional Ear manufacturer's !Recifications? 63 M -f7 - ,NAM=, E. Co encs: Pap 2 of 3 93MI