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�61FTLER-RYAN INC. IVE GR .IOU# 1820. 1789 D, Results of Testing/Servicing RECE SWRCB,January 2006 Software Version Installed: 329 . 01 JUL 13 2018 Complete the following checklist ENVIRONMENTAL ❑ Yes 0 o Is the audible alarm operational? -i 4- { ,....' I Ni L-1 ❑ Yes ® No- Is the visual alarm operational? ❑ Yes ❑ No' Were all sensors visually inspected,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 pro r operation? 0 Yes ❑ No' If alarms are relayed to a remote monitoring station,is all communication equipment(e.g.modem)operational? ❑ N/A 0 Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down it the piping secondary containment monitoring system N/A detects a leak,fails to operate,or is electrically disconnected?If yes:which sensors initiate positive shut-down?(Check all that apply) 0 Sump/Trench Sensor, 0 Dispenser Containment Sensor.Did you confirm positive shut-down due to leaks and sensor failure/disconnection? r&d Yes, ❑ No. ❑ Yes ❑ No' For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no mechanical overfill prevention m N/A valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly?If so,at what percent of tank capacity does the alarm trigger! % ❑ Yes ® No Was any monitoring equipment replaced?If yes,identify Spec sensors,probes,or other equipment 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 yes,describe causes in Section E,below. ❑ Yes No' Was monitoring system set-up reviewed to insure proper settings?Attach set-up reports,if applicable. Yes ® No. Is all monitoring equipment operational per manufacture's specifications? In Sectlon E below,describe how and when these deficiencies were or will be corrected. E. Comments: Site uses flapper valves inside drop tubes for over fill . There is no audible or visual alarm panel . Monitoring System Certification Page 2 of 4 1yro7 2