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07/24/2003 12:44 4089710 SSS INC PAGE 04 <br /> Monitoring System Certification-Page 2 of 3 <br /> Site Address: 2375 W. Grant Line o l-2115 Date of Testing/Serviein' 06103103 _ <br /> D. .Rp.milts of Testing 1 Servicing <br /> Software Version Installed' 999.02 <br /> Complete the folle ing checklist: <br /> ®Yes ❑ No* is the audible alarm operational'? <br /> 3 Yes 0 No" is the visual alarm operational'? <br /> Yes ❑No* Were all sensors visually inspected,functionally tested,and confirmed operational'? <br /> ®Yes [3 No* were all sensors installed at lowest point of secondary containment and positioned so tlzat other equipment will <br /> not interfere with their proper o oration? <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 /> ❑ri/A monitnrine systenn detects a leap,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shut-down? (Check all that apply) M Sump/Trench Sensors; ❑Dispenser Containment Sensors- <br /> Did you confirm positive shutdown due to leaks and sensor failure/disconnection? tit Yes ❑No <br /> 0 Yes ❑No* For tank systems that ulili=the i.nonitoring system ac the primary tank,overfill warring(jPvir.c`(i.e_no <br /> m N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank- <br /> fin <br /> ankfill noint(s}and.operating roperly? if so,at what 2ercent of tank capacity does the alar—in trigger? 0 % <br /> 0 Yes ao No Was any monitoring equipment replacew if yes,identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer nacre and model for all r lacetnent arts in Section E,below. <br /> 0 Yes+ 0 No Was liquid found inwde any secondary rontainmont cyctems designed as dry systems? (Check all that apply) <br /> ❑Product; ❑-Water. if yes,describe causes in Section E,below. <br /> 3 Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settin s? Attach set-Up t°e ort_r, i a livable. <br /> M Yes ❑No* Is all monitoring equipment operational per manufacturers speciflcalioua? <br /> *In Section E below,describe flow and when these deficiencies were or will be corrected. <br /> E. Comments: 2 Turbine sump sensors and PLLD's per tank. <br /> n; <br /> I <br />