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Fedex Ground Supplemental USr*stem Inspection Items <br /> (This form is to be completed whenever Tanknology performs a Monitoring System Inspection and/or Impact Valve Inspection.) <br /> Date: 7/17/2018 Site#: Fed Ex Ground City: Tracy State: CA <br /> Monitoring-%stem ODnsole & Sensors <br /> 1. Isthe time and date on the console accurate? r. YES r NO <br /> If No, provide additional information: <br /> 2. Isthe printer operational and dean? YES NO <br /> If No, provide additional information: <br /> 3. Isthe battery back-up functional? r YES r NO <br /> (Fin archive,shut down power,return power) <br /> If No, provide additional information: <br /> 4. Are all sensorsfirmly secured and resting vertically? r. YES r NO <br /> If No, provide additional information: <br /> 5. Brine sensor:when removed from the reservoir,doesthe float move freely? r. YES r NO <br /> If No, provide additional information: <br /> 6. Brine Sens: isa"low liquid"alarm activated with sensor in the upright position? r. YES r NO <br /> If No, provide additional information: <br /> WO# 2335977 <br />