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APR-30-2010 FRI 05: 44 PM P. 043 <br /> 04/28/2010 13:26 661393 CHUCK HILL PAGE 04/07 <br /> Mrnito,ntg S,sgem Certific2tion C <br /> F. In-Tank Gaming f SM Equipment: ® Check this box if tank <br /> ging is eked only fbr innreT wy control. <br /> ❑ Cheek this box if n0 rank garaging or SIR equipment is ingtziled. <br /> Tris sexton must bO c0-mPleted if in--tank gaugiog equiptneut;is used to perform leak cictecction monitarir►g. <br /> Com let,the foHew„t Checklist: <br /> ® Ycs ❑ No° Hee alt fnpwiring boon inqwcwd for proper cumy anti temeitratioa,incdr,deng E Cirtz for grid efts? <br /> ❑ Yes 13 NOV Were all tank gauging probes visually inspected for damage and residne buildup.) <br /> ❑ Yes ❑ NO VNO a==y ofsyst m product loved mcliangs tested? <br /> R Yes Q we Was scxuracy of system Water Level readings tested? <br /> ❑ Yes 13 No Were all probes reimftlied ? <br /> Q Yes ❑ NO Were all items on the equipment manor r°s maintenance checklist cornpicted? <br /> *In the Seegon FL below,describe and whm dwse defidenda went or will be co ed. <br /> G. Line Leake Det ars(LLD}: lD Check this box if LI.Ds are not installed. <br /> Com lett the f011Owing clteCklistw <br /> ® Yes ® No* For eguiMent start-up or annual equipmert cerdfwation, was a leak shnufmd to verify Lix �, ? <br /> Cl N/A (Check all that apply.) Shnu leak rates Ip13".b.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> El Yes ® No* Were all LLDs confirmed operational 9M accurzte within,rtplatory rwMireEments? <br /> Q Yes d No* Was the testing appmw propWy cai''btaterl? <br /> lD Yes � NO* For mechanical LLDs,does the LLD restricx product dose if it demos a teats? <br /> ® N/A <br /> ❑ Yes ❑ No* For electronic LLD%does the Wbinc automatically shat off if the LLD detects a leak? <br /> 99 N/A <br /> Q Yos 13 No* Por elec"ni4 LLDs,docs the turbine autornalically shut off if any portion of the monitoring system is disabled <br /> ® NIA or disconnected? <br /> a Yes ❑ No* For electronic LLDs, does the uw re m4omatkally shut off if any portion of the monitoring Wswn <br /> ®' NTA Malfunctions or Waifs a testi <br /> ❑ Yes Q Nag* For electronic LLDs,havo all accessible wiring c ' m been visually s ? <br /> 181 XIA <br /> E.-I Yes ❑ No* Were all kerns on the equipment manufacturer's maintenance checklist completeO <br /> *ip the Section A,below,destrilbe how and when these d4denciesor vAU be co <br /> H. Comm East HFlo diesel LD 3000 didn'tFQvcrat hi3th ttrrbitt are runntng meed to <br /> ctet_that fixed and rgaeg <br /> eJl+t-03G-3tt <br /> Psge3oE4 Rev. i <br /> wmr.enitlocsnrfi <br />