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0 0 RECEIVEC <br />F. In -Tank Gauging / SIR Equipment: r Check this box if tank gauging is used only for ir%Br4c1trN 14 <br />r Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />complete the following checklist: <br />r Yes r No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />C" Yes No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes No* Was accuracy of system product level readings tested? <br />• Yes f No. Was accuracy of system water level readings tested? <br />• Yes No* ere all probes reinstalled properly? <br />• Yes r No* 1were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): r Check this box if LLDs are not installed. <br />Complete the following checklist: <br />* In the Section H, below, describe how and when these deticiencies were or win ue curreaeu. <br />Lomments: <br />Page 3 of 3 12/07 <br />