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Moier Certification Inspection <br /> "ARCO Products Company <br /> This letter certifies that the monitor(s) is/are in place, the probes are in correct position and the system <br /> is operating properly. <br /> Station # G -5 7 S Date 19 <br /> Address yds s Type Inspection: <br /> Annual �Y Permit <br /> 9 /— Recheck Leak <br /> Type & Model of Monitor t o�C � S — 5a r ^ T7 <br /> System Function <br /> Tanks Annular Space In Tank <br /> Pais Fail N/A Pass Fail <br /> Regular <br /> Midgrade X <br /> Supreme 3E <br /> Waste Oil � <br /> Other <br /> Product Lines Turbine Sump In-Line Fill Sump <br /> Pas Fail N/A Pass Fail N/A Pass Fail N <br /> Regular — <br /> Midgrade _� <br /> Supreme <br /> Waste Oil <br /> Other When monitor is turned off or in alarm, is there positive shutdown of turbines? Yes No <br /> IfNo, were precision product line tests performed? Yes— No <br /> Monitor Panel <br /> Is the monitor panel mounted and labeled correctly? F <br /> Does monitor alarm horn function properly? y e 5 <br /> Is panel accessible and visible to station personnel? — � <br /> Replaced all failed probes? Yes — No — N/A — <br /> If No. probes to be replaced/repaired by (Date) <br /> / <br /> Inspected By: Contractor / <br /> Technician !' "^` <br /> Signature <br /> APC-3324(M6) / <br />