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f <br />f <br />PRODUCT UNE MONIT . NG SYSTEM-CorWd. <br />Mechanics! Leak Detector Manufacturer: <br />RJ slow flow- [ ] Round Diaphragm [ Hex Diaphragm <br />RJ shut off: [ ] PLD Piston [ XLP Piston <br />Vaporiess LD 2000: [ j Piston { J Other: <br />Model: <br />• <br />Arriving Status: [ j Operational [ ] Non -operational <br />Corrective Action: j ] Performed [ ] Required - <br />Departing Status: j ] Operational (] Non -operational <br />Remarks: <br />Waste Oil Tank Monitoring System <br />QTY TYPE <br />[ ] Visually Monitored (Daily Inventory) <br />[ ] Site Well Vapor Probes <br />[ 1 ] Interstitial Monitor [ { ] Wet [ ] Dry <br />Sump <br />Manufacturer. <br />[;j -API [ ] Leakaiert [ ] Polluaiert <br />[ ] OC reservoir [ ] Other <br />Model a? (nSS <br />Arriving Status: [Operational [ j Non -operational <br />Corrective Acticr.: [ 1 Per;crme-d r ? Raruir <br />Departing Status: [LOperaiicnal [ j Non -operational <br />Remarks: <br />I certify that the above information and operating status is representative of the actual condition of the <br />monitoring system. Ie- _ <br />'-S --- t -2- <br />Date <br />Date <br />b <br />