Designation Testing Checklist

DESIGNATION TESTING CHECKLIST FOR CLASS II __________ __________ __________ Auditee Auditor signature Date Compliance Status: Y = Yes N = No NA = Not applicable/Not available Verification Comments (Includes documentation of who, what, where, when, why) (Doc. #, Rev. #, Rev. Date) Verification Verified by Direct Observation of Process or of Documented Evidence: Performance, Design or Application Spec. Corresponding to Sections of 40 CFR Part 53, Subparts E and F Y N NA Subpart E: Performance Specification Tests Evaluation completed according to Subpart E § 53.50 to § 53.56 Subpart E: Class I Sequential Tests Class II samplers that are also Class I (sequentialized) have passed the tests in § 53.57 Subpart F: Performance Spec/Test Evaluation of Physical Characteristics of Clean Sampler - One of these tests must be performed: § 53.62 - Full Wind Tunnel § 53.63 - Inlet Aspiration § 53.64 - Static Fractionator Evaluation of Physical Characteristics of Loaded Sampler § 53.65 Loading Test One of the following tests must be performed for evaluation after loading: § 53.62, § 53.63, § 53.64 Evaluation of the Volatile Characteristics of the Class II Sampler § 53.66