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Sep 17 09 02:10p Elite IV Contactors 12094616342 p.3 <br />• May 18 09 12:53p E1 Iv Contractors Inc 20946 2 p.2 <br />EactlltyNamc. LIZ es ate of —7& 6�1 <br />IF. In -Tank Ganging Ega£pment: A'OcWk this box jrtznk gxugiag is uwd only for inventory control. <br />Th s scetion mint be completed if in -tank S=f,mg equipment is used to prrfarm h:ak del—rion mor�itori 1f;.. <br />Software Version Iuatallcd. <br />Complete the WOWDAR checiallet: <br />❑ Yes IC3 Ne"I Sias all input wiriAz been M .,Pceted for proper entry and tamunarion, iaCludmg Mstiag fnr ground faults? <br />D Yes <br />Q No® <br />Wcce alt tank gaunt probes vLwIly impecmd for dttnvtge zed rtydue buildup? <br />® Yea <br />13 No" <br />Was accuracy of ryatera producdwa= level xcaetings d23ted? <br />Cl Yes <br />u Pio• <br />was accuracy of apctcrn wt= level rcadiQgs turd? <br />® Yes <br />f3 No' <br />W= all, Man= ac avaicd "d dad they tuncctotz properly? <br />Yes <br />®Ne <br />WW, vU #q..m the cquiptrrmt mmufacturcr'a maxtsaancc Chet dut completed? <br />' In the Seeder H, betgw, ttcteribc bow atsd wbcq these d4cientics were or will be curtceted. <br />G. Live LCnk.Dctcct*tY (LL)D): Q check this box SUM axe not iastaiicd. <br />Yes <br />U No" <br />Was a leak sicuaWed �j�vctafy CLU patt'o..tbAnm? (Check all Aar ap�) <br />S' IcAk rack: Yd'3 g.p3c.; Q 0.1 &p b.: 0 0.2 g.p h. <br />Yes <br />a No, <br />Were 41 LLDa confumed and ==i1sc %liken regulatory vequlvewcara7 <br />Yea <br />❑ Na" <br />Wax the testing a property ealibrrted? <br />Ycs <br />d No" <br />For nwebxnical LLD)s. dots the LLD =svkt product flow if tc dctcem a teak? <br />D NIA <br />L"1 Ycs <br />D Nee <br />For L4,=*nic IlDs. docs the uvbiaC :utomatually situs ofrif the LLD detects a leak? <br />N/A <br />❑ Ycs <br />For electronic I.LDs, does the turbine atit®taadcally shut off if any portion of the mol utormS syslem is diublcd <br />,O,/Ne <br />P NSA <br />or ? ' <br />Q Ycs <br />d "40` <br />For cliecuank LLDg, docs dj,-- rurblae automatieauy dint off if any porrtoa of the nwwtaring syslem <br />IX <br />IV1A <br />xraVUU=DW or feuds a ttst? <br />❑ Yes <br />Q W <br />For citxem * L LDs, have w secc=iblc wiring cow=zimu becA visually utspctted' <br />NIA <br />. <br />Yrs <br />No• <br />If tteesswy to proper equipawar operation, arc foci .Ghem in gond condition? <br />Q NIA <br />_ <br />Ycs <br />71 No" I <br />Wire all ittacxc on the etluipmw membra aet"t mmatcuanco checict:st complctcd? <br />lA cru Scsttott IL below, describe haw *ted when trues dtisctnacies were ar will be corrected. <br />R. Comments: <br />CALM -87 rage 3 <br />