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V 'A �& 0 tonitor Certification Inspection <br />Vr 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. 19 <br />Station # Date _ <br />Address _�' ^o' �'"" ©� Type In!a— <br />o Annual Permit <br />Recheck Leak <br />Type & Model of Monitor <br />System Function <br />Tanks Annular Space In Tank <br />l;a�s Fail N/A Pass Fail / <br />Regular �— <br />Midgrade <br />Supreme <br />Waste Oil <br />Other -7 <br />Product Lines Turbine Sump In -Line Fill Sump <br />P Fail N/A Pass Fail N/ Pass Fail N/ <br />Regular — <br />Midgrade <br />Supreme <br />Waste Oil �� <br />Other <br />When monitor is turned off or in alarm, is there positive shutdown pf turbines? Yes No <br />If No, were precision product line tests performed? Yes No <br />Monitor Panel <br />Is the monitor panel mounted and labeled correctly? <br />Does monitor alarm horn function properly? <br />VC „ <br />Is panel accessible and visible to station personnel? <br />Replaced all failed probes? Yes <br />No N/A <br />If No, probes to be replaced/repaired by (Date) <br />TO i -S <br />C �`F 4- 5cl tlt/ <br />Inspected By: Contractor L lo— <br />Technician <br />Signature <br />