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No. 0519 P. 4 <br />U IF Ir 1. <br />n- an Vauging i SAX Equipment: EJ Check this box if tank gauging is used only for inventory control. <br />0 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. <br />Complete the following checklist! <br />0 Yes 0 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />0 Yes 11 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />�Yes [5 No* Was accuracy of system product level readings tested? <br />0 Yes 0 No* Was accuracy of system water level readings tested? <br />Yes ❑ Ne Were all probes reinstalled properly? <br />JUL 3 0 2015 <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. Live Leak Detectors (LLD); El Check this box if LLI)s are not installed. <br />R, "Kvwj U1;3UX Jut! IRUW Una wnen mese Oellcienctes were or will be corrected. <br />H. CoMments: REPLACE DlEsr=L RED JACKEI M/N MOM LLD SIN 40114 AND EJET I <br />Page 3 of 4 <br />IIN-036 — 516 www.unidoes.org Rev. 01/17M <br />