DESIGNATION TESTING CHECKLIST FOR CLASS II

                  __________         __________         __________

                        Auditee                     Auditor signature                     Date

Open Table
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    

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