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SRELL OrL CQhd?ANY <br /> MOTOR FUEL FACILITIES <br /> CERTIFICATIONOF TANK MONITORING SYSTL-4 _ <br /> Facility WIC Number ; <br /> Facility Address ; <br /> 0 C4 <br /> Retail District : <br /> Product Tanks ' (3 ] Single Wall ( ) Double Wall <br /> Product Line (3) Single Wall ( ) Double Wall <br /> Waste Oil Tank Single Wall ( ] Double Wall <br /> Product Tank Monitoring SYstem <br /> QTY <br /> Type ; ( ) Site Well Vapor Probes ( single wall) ' <br /> ( ) Annular Space Wet Reservoir (double wall) <br /> ( J Annular Space Dry Monitor (double wall) <br /> System Manufacturer : ( J API Ronan ( J <br /> Other �) None <br /> Model ; ( ) <br /> Operating Statue ; <br /> operational [ ] Nonoperational <br /> ( t 9 <br /> Corrective Action : ( J Pertorme¢ ( ) Required <br /> • T..� m^a c-r. ..n > <br /> `*h AR 2 9 ^ 3 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />