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0 <br />L'INDERGRATTH) LEAK DETECTION SYSTEM - (V3.12) <br />Page 17 <br />BHELA, <br />WOU9203 -IVE910623-46735 <br />Mar 1%2y 01:37 <br />U EF $B _F_ :1 171 RNA 01; <br />:1 X <br />f i 11 t h e b 0 x a V e a <br />h, -f i 12 s A ac Wed d ur i nq o f f -hour sw <br />N. <br />Khoo often are dips made"," <br />1. <br />Wave inventory shoytAges beron noticedO <br />Whni did they begin" <br />%0 delivery that date? <br />Piave 0wnytagEn been consistent? <br />Have any customers complained of water in their <br />tanks? <br />S. <br />Watey detecting paste used? <br />h4ony e�flverj?� <br />7. <br />h0at nan beRn the water level over the past two <br />weeks"," <br />8. <br />Ara tanks tandemed? <br />Which onecs)`�:' <br />S. <br />Dispensing pumps: Submersible? <br />Vacuum style? <br />10. <br />Vapor rFcovery system preEent? <br />!I. <br />St y 1 e",", <br />in the pipe fill cap water tight providing a good <br />seQ? <br />12. <br />Have dispensing pumps recently beEn calibrated? <br />Date (yy/MM/DD),-,,,, <br />13. <br />Has the sioht glass been empty after 12 hours? <br />14. <br />Grp any of your dispensing oumpo difficult to <br />start? <br />15. <br />Do any of your Uspensing pumps develop a hesitation <br />during delivery? <br />16. <br />Has a meter revolved without any accompanying <br />delivery <br />of product? r,," <br />17. <br />Aye leak detectors in placn? <br />16. <br />Have any other tank tests or line tests recently <br />been <br />conduited? �`--J <br />P1 e t 1 no f_J <br />Date (yV/MM/DDV <br />pesul <br />19. <br />ty�� <br />Witnessem presuntt <br />51 <br />