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FE*B-18-2010 10:17 Service Station Systems 408 938 8888 P.05 <br />Monitoring System Certification - Pago 3 <br />Site Address: 36 N. Cherokee Ln. Date of Testing/Servicing: 1120/10 <br />F. In - Tank Gauging / SIR Equipment: <br />cl Check this box if tank gauging is used only for inventory control. <br />❑ Check this box if no tank gauging or SIR equipment is installed. <br />This section must to completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />Com lete the foliowin checklists <br />proper entry and termination, including testing for ground faults? <br />Q Yes l3 No* Has all input wiring been inspected for <br />❑ Yes a No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />C3 Yes 13 No* Was accuracy of system product levet readings tested? <br />17 Yes i7 No* Was accuracy of system water level readings tested? <br />O Yes ® No* Were all probes reinstalled properly? <br />0 Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? <br />" In Section H below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLD's are not installed. <br />* In Section H below, describe how and when these deficiencies were or win De correcteu. <br />H. Comments, <br />