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ELECTRONIC DOUBLE-WAS UST MONTHLY.MONITORiNG <br /> Ryder LOC # Address rim <br /> i. r 52�. <br /> TANK NO [ ) Diesel [ ] Unleaded [ ) Lute Oil Used Coil [ ) Antifreeze <br /> APRIL t9 MAY 19 JUNE 19 JULY 19�Y`� AUG 19 SEPT 19 OCT 19Y NOV 19 QEC 1 <br /> MONTHIYEAR JAN 19j FEB 19�' MAR 19y� Y� <br /> Y "� <br /> DATE G� -y/ J <br /> i <br /> / <br /> F TIME <br /> BSM'S SIGNATURE <br /> (or-A tShS zed rep.} <br /> 7QNK <br /> k,ek hfi <br /> IS SYSTEM , x <br /> OPERATING <br /> PROPERLY(Y/N)? <br /> Y NO,attach J <br /> explaination <br /> �3} k <br /> i= poEs ALARM SOUND <br /> j WtiEtS PUT IN TESTyer <br /> MOUE (YIN)?It NQ, t s <br /> attar} explanation*` <br /> Y, <br /> A <br /> 1 <br /> PIPING <br /> IS TURBINE SUMP <br /> MONITOR OPERATING {r � y15 PROPERLY (YIN)? If J <br /> NO"attach explainatien 1 <br /> DOES ALARM SOUND (( - f w, <br /> WHEN PUT IN TEST �J` � ( � <br /> MODE (YIN)7 11 NO. <br /> attach explaination " <br /> 'A ting. the regulatory requirements for leak detection. Manual monitoring Mt <br /> *' If alarms have been turned off. or the control panel is not operating, the system no longer me <br /> immediately or a tightness test will have to be performed. <br />