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FEB-02-200_5 15:49 SERVICE STATION SYSTEM 408 971 0135 P.05
<br /> �•• .rr .�u ru. 716 715 2005 P. 04
<br /> FE8-01-2005 19a29 �'S�ICE STATION 9Y5'TEM -./
<br /> 1t'Ienitaring System CerdfleAft-Page 9 of 3 408 971 013$ P.04
<br /> 811ewddrm! 2801 Country Club blvd,0 Delon Ave
<br /> Date of Tating/$esvidAg: 1148166
<br /> F. In-Tank Gauging/SIR&qutpment.
<br /> 4'Chwk this box if tank gauging is used ouly for inventory contmi
<br /> 0 Check anis box if=W*gauging of 5112 NWPmcnt!a installed,
<br /> This section must be cernpbeted if in-tank gauging equiprne�lt is used to
<br /> Parfortr
<br /> Complato the folio clacluiat: v
<br /> O 1401 Has all input wiring bee, ;:, ;:. '. : . ..-...,+n......w..•,..--,.�---
<br /> �- -
<br /> sv^•'za!•,,r�;az�4�;nM1,Pe visually inspected ftQalnaga and roaidue buiidup?
<br /> a Noe Was eegRaCy^ffj�i:In waiel ttalad4
<br /> nt(� p tQee Were all pmbse
<br /> (,fl TZ., kryr
<br /> -: .. ..--.::.t...„,:t::,... ...., .:::.;:,•.;:.;':rw cneexatst colnpkted?
<br /> '•In segos H below,sweetie haw and when these ddWoodes«ere or vw be correaw.
<br /> G. Line Leak Detcetors(LLD): ❑Check this box if LLD'e ase not installed
<br /> Comp to the f llkwigg eheckNIv.
<br /> � b7 �" �egntllmen[bCFtii-uywriiuiil:.: ••, �••""'ii Crh{'ii'i;:4k4.vlwaiari:s:rrilkai'kd to vrr/Fy 11dJ lOYfwulance? .... _
<br /> ?.�,. _.-•r-, ...nA inm4 renter ,P.h.(1.)i 4 O.i }r.(rE.)i 0-2 a-ph(2.).
<br /> 1 Notes; ~1, RQgYirad.w cquiilrawd start 0fslif50ation
<br /> 2. IIukea mangy - - -— all"I c .ancation,
<br /> a " aALt.Dtseonl5 -- - naiAtiNO.
<br /> No Wee wr.:. w�iytp..; i�.
<br /> ;Yo, ;1i+r�j' 'i`,:�='riia:isr is^;T,-:y:�.TMc/f� i'.�+.'_t..n rosrnet $dctacTaaleek?
<br /> A
<br /> a-Tw OW For eleeNna t t,l M,tkom t e,ttHt+fna 1!nttrn. GPt y r'lrt of,Wthr Y I.Ti ortm.fv a lm. q
<br /> - q N/A V.,,,•,..:..,;;; r^,.x,dc:�1'.•*i;..ar. �r;!:.;aticzlt;rlr:i a . .,nn�'�,rir�of tho Woultastog sY"tern ie diaa lcd �
<br /> p NZA, I or d soonneawl' -
<br /> ta �NTo },`� f Y Tnr. .l.,,y:!h ;.i.7•j- yl.��.wpwf.yrp,r a;ns f,hr le;.n.:R:?. 7. 7 7-, FIRtl.17,r wv$Am
<br /> ortalls a tw
<br /> I' A.1:wd+';< ' .vz t+ 1'zcsl.ons bo®v1W*iopeCied't
<br /> a MIA
<br /> ..'M 3action)':a'nesow,ceaehb¢now and whin�theee'ilellaws w were er eat be eaiwte& .
<br /> H. Coo n4enla
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