7)  Include site drawing with layout and approximate distances (use space provided below):
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
This checklist is for annual verification of the OPW Fuel Management Systems’ SiteSentinel® iSite™ Tank Gauge System and must be performed by 
an OPW Fuel Management Systems’ Authorized Service Contractor.
 
The compilation of this checklist and any subsequent work or parts required to address any non-conformity is the sole responsibility of the equipment 
owner.
 
As an OPW Fuel Management Systems’ Authorized Service Contractor I certify the above information and data is correct.
 
 
Technician's Name (Print):  Signature:
 
 
   
 
Company Name:  Date:   /  /
   
 
OPW-FMS Certification #:  _  Exp. Date:   /  /