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d <br /> i <br /> or 4 <br /> 4 <br /> iLgIc <br /> Environmental, Inc. <br /> MONITOR CERTIFICATION INSPECTION FORM <br /> i <br /> This certifies that the monitor and sensors, as listed below, -are <br /> operational and calibrated per the manufacturer's specifications. <br /> FACILITY # 9 l�� � <<� DATE <br /> ADDRESS ,7�1 -\ �h�ri C6e' <br /> TYPE AND MODEL OF MONITOR � n � !��2 � 1 " 0 <br /> SYSTEM FUNCTION: <br /> TANK (interstitial) PASS FALL N/A <br /> WET DRY V_ <br /> TURBINE SUMP PASS FAIL N/A <br /> IN LINE (pressure) PASS FAIL N/A <br /> FILL SUMPS PASS FAIL N/A <br /> VAPOR WELLS PASS FAIL N/A <br /> WASTE OIL PASS FAIL N/A <br /> WHEN MONITOR IS TURNED OFF OR IN ALARM DOES THE TURBINE SHUT DOWN? <br /> YES NO <br /> COMMENTS: <br /> . / <br /> INSPECTED BY: �Z• - <br /> 172 WEST VERDUGO AVE., BURBANK,CA 91502-2132 • TEL: (818) 840-7020 • FAX: (818) 840-6929 <br />