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SR D0&2—� L�� Inspector: IVj Site Address: (;0 Date: 03 l/O <br /> ` UST Install Technician Certifications Checklist <br /> Certification Equipment <br /> Technician's Name/Certification Expiration Date <br /> Name Type <br /> -T i'i-------------- .................... ------------Mr 64&W - <br /> --------------------------------- ------------------------------------------------------------------------------- <br /> J a rano <br /> ICC Installer - 09 zr20 <br /> ICC Tester - 0 fi Oq20Z, <br /> Kew-Kei Tanks 0/IC2.12v <br /> /�/0✓ Piping 0 lv2-102,3 <br /> Tank Sump D� OZ 10 <br /> Of 1A) UDC OfG 04 h'0/2'OZ <br /> 49ra v0 Vent Sump Z�I/124-Z' <br /> SpiOPS <br /> containers �f!' 3v 2p2� 0,6, X02/ <br /> OpJ,j Water tight <br /> shield C� 06�sZo2� <br /> ` Flex <br /> ( l/� Connectors o(Olt Azz <br /> Leak Detector O 14-,) � <br /> VA-1Sensors6Z �- b} <br /> L,j overfill <br /> Manhole <br /> cover <br />