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1992 MONITOR EQUIPMENT TESTING <br />Station #®�l�v <br />Make <br />Model <br />Test <br />Test <br />Date <br />Testing Co. <br />REGIONAL <br />Date <br />Result <br />Repaired <br />& <br />OFFICE ONLY <br />MO/D/Y <br />MO/D/Y <br />Testor Initial <br />Date Sent To <br />City/County <br />Red Jacket Leak Detector <br />0 r <br />o <br />ipjp <br />%�' yz <br />F6A <br />Comments: <br />J <br />Electronic Line Pressure Monitor <br />I <br />CEI, Etc. <br />p <br />Comments: <br />Annular Space Monitor <br />�o <br />Comments: <br />Tank Level Monitor T.L.M. <br />Comments: <br />Vadose Well <br />Monitors <br />Comments: <br />MLF/b1 j :0891-87 (1-20-92) <br />Return to: M.L. Farrar/Maintenance - West Central Region — San Ramon - 11/1/92 <br />1. Please note if Suction System <br />2. Use comments - as needed <br />3. DO NOT SEND FORM IN BLANK or'DO NOT KNOW' SPACES <br />4. Test date must be entered or form will be returned <br />M. L. F. <br />15 1992 <br />MAR 2 7'82 M.L.F. <br />