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"ARCO Products Company <br />M- .tor Certification Inspection <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. <br />Station # �' �3 7� Date 190 <br />AddressU e 'C. 'bj Type Inspectign: <br />�- Annual t,/ Permit <br />Recheck Leak <br />Type & Model of Monitor xn(' S <br />System Function <br />Tanks Annular Space In Tank <br />P s Fail N/A Pass Fail / <br />Regular tU-AL� <br />Midgrade — — <br />Supreme x—�- <br />Waste Oil <br />Other t#4LZ. <br />Product Lines Turbine Sump In -Line Fill Sump <br />Piss Fail N/A Pass Fail N/A P� Fail N/A <br />Regular <br />Midgrade X <br />Supreme <br />Waste Oil -�- - • <br />Other <br />When monitor is turned off or in alarm, is there positive shutdown off turbines? Yes _ No- <br />If <br />o_If No, were precision product line tests performed? Yes No <br />Monitor Panel <br />Is the monitor panel mounted and labeled correctly? S <br />Does monitor alarm horn function properly? S <br />Is panel accessible and visible to station personnel?5� <br />Replaced all failed probes? Yes - No - N/A <br />r <br />If No, probes to be replaced/repaired by (Date) <br />Inspected By: Contrac <br />Technic <br />Signatu <br />APC -3324 (8/96) <br />