Laserfiche WebLink
8 <br /> IRV <br /> POB 36 26515 N. SACTO, 81✓. <br /> TF101�NTON, CA. 95686 Continuous Monitoring <br /> 209 794-0102 800 524-9087 Device Certification <br /> TEST DATE — --"j ` <br /> SITE: <br /> OPERATOR SIAH90 OWNER <br /> sfirz ADDRzss l,,1 D i o . kdf��1 Y L^ ADDRESS <br /> PHONE (7 0,fy)s" "G'�3 - 1 D�` PHONE { ) <br /> ff � <br /> MAKE AND MODEL OF MONITORING SYSTEM l.7 ��t j L) l <br /> Contents of Tank l j A(k- <br /> Capacity of Tank 120`d Ion Iry-1'9 <br /> Type of Product Line: (Gravity, Suction, Pressure). rio,_ P-,s I i�- <br /> INDICATE LOCATION OF THE MONITORING SENSORS TESTED BY PLACING A YES OR NO IN APPLICABLE BOX: <br /> Annular Space Sensor �P✓ ���, o�j <br /> Sump Sensor <br /> Dispenser Containment Sensori Nom( It7Q <br /> Electronic Overfill ILevel LL 9 <br /> Electronic In-Line Leak Detector <br /> Mechanical Line Leak Detector <br /> r, <br /> In Tank Gauging Device, c by LLZ <br /> INDICATE THE FOLLOWING BY PLACING A YES OR NO IN APPLICABLE BOX: <br /> Does the monitoring system have audible and visual alarms? � y <br /> Does the turbine automatically shut-down if the system detects <br /> a Mak, fails to operate or is electronically disconnected? <br /> Is the monitoring system installed to prevent unauthorized tampering? ,[,� A <br /> Is the monitoring system operable as per the manufacturer's specifications? <br /> Which continuous monitoring devices Initiate positive shut-down of the turbine? c F' <br /> It f-I (C,B /A /ry1:2,Pe <!, f' �, , e,1—,-- 5. •�7p <br /> CERTIFIED TESTER'S ID# _ U to 0 <br /> SIGNATURE OF CERTIFIED TECHNICIAN r <br /> PRINTED NAME OF CERTIFIED TECHNICIAN <br />