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J!ro.uct <br />QTY <br />Type: ( j Line Prtesur,e*Monitor'(eingle wal:1) <br />( ) Monitoring„Probe/Collection Sump (double wall) <br />System Manufacturer: ( j API Ronan ( j Other ( J None <br />Model:.( J <br />Operating Status.- ( , Operational ( j Nonoperatlonal <br />Corrective Action: ( , Performed ( , Required <br />Waste * tonitoring « , <br />Q `i <br />Vapor..(single <br />( ) Annular Space Wet Reservoir (double wall) <br />System Manufacturer: ( J API Ronan ( j Other ( ),,None <br />Operating <br />3tatu•: (' <br />Operational <br />(' Nonoperational <br />Corrective <br />Action: ( <br />, Performed <br />a <br />( j Required <br />I do certify that the above information and operating status -la <br />representative of the actual condition of the monitoring system, <br />g taro <br />Date <br />