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Site Address: SS #5450,1617 W FREMONT, STOCKTON <br />F. In -Tank Gauging / SIR Equipment: <br />0 <br />Date of Testing/Servicing: <br />❑ Check this box if tank gauging is used only for inventory control. <br />heck 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 />Com lets the follo ing checklist: <br />No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ Yes <br />❑ <br />❑ <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes <br />❑ Yes <br />❑ <br />No* <br />Was accuracy of system product level readings tested? <br />❑ Yes <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />❑ Yes <br />❑ <br />No* <br />Were all probes reinstalled properly? <br />❑ Yes <br />❑ <br />No <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H, <br />below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): <br />❑ Check this box if LLDs are not installed. <br />* In the Section H, below, <br />--- <br />H. Comments: <br />Page 3 of 3 <br />03/01 <br />