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M or Certification Inspection <br /> 110VARCO Products Company <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 # _w",6_0 Date / Z <br /> Address S'S e__:� ��'Sc ���- Type Inspection: <br /> Z� �2�� Annual !/ Permit <br /> Recheck Leak <br /> Type & Model of Monitor VIZ bG7)Z- /°o' 7-Z3 - 3 rb <br /> System Function <br /> Tanks Annular Space In Tank <br /> Pass Fail N/A Pass Fail N/A <br /> Regular <br /> Midgrade <br /> Supreme <br /> Waste Oil <br /> Other <br /> Product Lines Turbine Sump In-Line Fill Sump <br /> Pass Fail N/A Pass Fail N/A Pass Fail N/A <br /> Regular —1z <br /> Midgrade <br /> Supreme <br /> Waste Oil <br /> Other <br /> When monitor is turned off or in alarm, is there positive shutdown of turbines? Yes No <br /> If No, were precision product line tests performed? Yes No <br /> Monitor Panel <br /> Is the monitor panel mounted and labeled correctly? <br /> Does monitor alarm horn function properly? V 61 <br /> Ispanel accessible and visible to station personnel? �L <br /> Replaced all failed probes? Yes No N/A J� <br /> If No, probes to be replace(:/repaired by (Date) <br /> S 7-e L-:'5 u /0/2 fJ Gv //7f p 5/ S c1Z /J fi S n,5 0 s Jif Srf�r O v�..� <br /> AcL, P/200v C/3 <br /> l7:FMv7 VI OIL /J o% 4,,, /)i�� t�h f✓.�� /k oNi%d�Lc7 �"1��9n1 �i(tj � <br /> Inspected By: Contractor <br /> Technician <br /> Signature <br /> APC-3324(6/96) <br />