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Product'Line' Monitoring System- cont. pg. 2 <br />Mechanical Leak Detector Manufacturer: <br />[ ] RJ Slow Flow <br />[ ] RJ Shut Off <br />Model: <br />Status @ Arrival: [ ] Operational [ ] Non -operational <br />Corrective Action: [ l Performed [ ] Required <br />Status @ Departure [ ] Operational [ ] Non -operational <br />WASTE OIL TANK MONITORING SYSTEM <br />TYPE <br />[ ] Visually Monitored (Daily Inventory) <br />[ ] Site Well Vapor Probes /! \�\ � \�� <br />C ] Interstitial Monitor [ ] Wet [ ] DryI\-^)t�J/���--� <br />Manufacturer: <br />[ ] Leakalert <br />Model: <br />Status @ Arrival: <br />Corrective Action: <br />Status @ Departure <br />[ ] API <br />[ ] Pollualert <br />[ ] Operational <br />[ ] Performed <br />[ ] Operational <br />[ ] Other________ <br />[ ] OC reservoir <br />[ ] Non -operational <br />[ ] Required <br />[ ] Non -operational <br />�4�� � � w�M� <br />''"`'` ' » /"�' <br />ROQM ENTAL HE'A[T� <br />--PERM FUSERVICES <br />I do certify that the above information and operating status is <br />representative of the actual condition of the monitoring system. <br />Signature <br />Company <br />