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; 0 <br />PRODUCT LINE MONITORING SYSTEM-Cont'd. <br />Mechanical Leak Detector Manufacturer. <br />RJ slow flow: <br />RJ shut off: <br />Vaporless LD 2000: <br />Round Diaphragm [ ] Hex Diaphragm <br />[ ] PLD Piston jA XLP Piston <br />[ ] Piston ' ] Other: _ <br />n <br />Model: <br />Arriving Status: pQ Operational [ j Non -operational <br />Corrective Action: [ ] Performed [ j Required <br />Departing Status: QC,j Operational [ ] Non -operational <br />Remarks: <br />Waste Oil Tank Monitoring System <br />CITY TYPE <br />[ ] Visually Monitored (Daily Inventory) <br />[ ] Site Well Vapor Probes <br />[� Interstitial Monitor Wet [ ] Dry <br />[ ] Sump <br />Manufacturer. <br />[ ] API [ ] Leakalert [ ] Pollualert <br />[xj OC reservoir [ ] Other <br />�i Model: <br />Arriving Status: <br />Corrective Action: <br />Departing Status: <br />Remarks: <br />bC] Operational <br />( ] Performed <br />[�Q Operational <br />[ ] Non -operational <br />[ j Required <br />[ ] Non -operational <br />I certify that the above information and operating status is representative of the actual condition of the <br />monitoring system. <br />Signature <br />Company <br />3/sem/sz <br />Date <br />