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IlI Champion P.O. Box 13059 <br /> 1I fj Sacramento CA 95813-3059 <br /> Precision Tank Testing CA 800-660-9443 <br /> License No. 73848 NV 800-949-9443 <br /> 1-916-927-1557 <br /> Fax: (916)927-7345 <br /> DATE <br /> OPERATOR Atc2t.2 j-4 G.. 1-/-o5�4t" 4 <br /> LOCATIONG)? �, f=AtfZAIO"7_ r /9VC_- <br /> i GSA. <br /> ANNUAL MONITOR MAINTENANCE & SYSTEMS FUNCTIONAL TEST <br /> Requested (f (4z c tl (9 u 1`" /L10)U f <br /> CHECK LIST <br /> ANNUAL MONITOR MAINTENANCE &SYSTEMS FUNCTIONAL TEST <br /> TYPE OF MONITOR Ro U'l X 7 S <br /> CHECK INSTALLATION AND SAFETY REQUIREMENTS <br /> PERFORMED VISUAL CHECK OF COMPONENTS AND CONNECTIONS <br /> INSPECTED AND CLEANED TANK PROBES <br /> CHECK FUEL AND WATER LEVELS IN TANK WITH DIP STICK /fa <br /> PRINTED OUT SYSTEM AND TANK SET-UP VALUES //a <br /> PRINTED DIAGNOSTIC PROBE VALUES xJd <br /> COMPARED STICK READINGS WITH PROBE VALUES ted'/ <br /> CHECKED ALL PROGRAMMING FOR A ACCURATE AND COMPLETE DATA /li/f1 <br /> SYSTEMS IS OPERATIONALy SYSTEMS IS NON-OPERATIONAL <br /> WELL HEAD DIAMETER <br /> REMARKS O /°�`�2 4 f� -f r4� � a s�.�+✓G�C ? .'�o� A� Gr,,e� Pfd A44;.. <br /> �_ /� !J V� /� � r��r. fir. � '7"`..`r'' '. �i�ic..• f . t ;r,+�'i .. <br />_ _T_ fLzA(oVt= L,IZ2 46L l-W-de-r i&,C 41r 1.21A,6 <br /> ' CZ4C, "Ej 7bt4F %/Le- �kc/cam VAIVLC . T A,4 1Aue< <br /> TECHNICIAN-AL MILBURN4 ' < <br />