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/ <br />| <br />/ <br />/ TANKNOLO8Y - UNDERGROUND LEAK DETECTION SYSTEM - (V3 . 12 ) Page 21 <br />� JE�CO CARDLOCK HOU9305-FRD910773-75271 - May 19` 1?93. 16:30 <br /> fE3 1: -7-EE CT�L.J -T � 11:_)h PA W.!-% � ��E��: <br /> 1 Does water ever fill the box area? <br /> N <br /> Which one"-.-' <br /> i 2. Are the fill caps locked during off-hours? N <br /> 3 How often are dips made? <br />! ^ - <br />� 4. Have inventory shortages been noticed? N <br />� Which tank? <br />' When did they begin? ' <br /> Fuel delivery that date? N ' <br />� <br />� Have shortages been consistent? N <br />! 5. Have anv customers complained of water in their tanks? N_ <br />� <br />^ 6. Waver ecting paste used? N <br />| <br /> 7. What has �~en the water level over the past two weeks? <br /> S . Are tanks tandemed? N ` <br /> Which one (s )? 1 <br />� 9. Dispensing pumps : Submersible? <br />| <br /> Vacuum sLv �e? N <br />! 10 . Vapor recovery system present � <br />| Style? <br />� <br /> it . Is the pipe fill cap water tight providing a good seal? N <br /> 12 . Have dispensing pumps recently been calibrated? N <br />/ Date (YY/MM/DD )? <br />� 13. His the sight glass been empty after 12 hours? N <br />\ 14 . Are an- of your dispensing pumps difficult to start? N <br />/ _ <br /> 15 . Do any of your dispensing pumps develop a hesitation during delivery? N ~� <br />� 16 . Has a meter revolved without any accompanying delivery of product? <br />| ` ' <br /> 17 . Are leak detectors in place? N <br />� . <br /> 18 . Have any other tank tests or line tests recently been conducted? <br /> i <br /> Method <br /> Date (YY/MM/DD ) ,J <br />| Results ' '� <br /> ! <br /> 19 . Witnesses present: 1 . <br />� 2 . ' ~ <br /> / <br />[ / <br /> 3 <br />| ` <br />/ 4 - <br /> . � <br /> 8 r, <br /> 9 <br />/ <br /> ` <br />( <br />/ <br />. � <br />| � ' <br />' <br />� <br />/ <br />. " <br /> ~ . ' <br />} ' <br />