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Y _ Y <br /> Triangle Environmental, Inc. <br /> 730 N. Mariposa St.,Burbank, CA 91506-1629 <br /> (818)840-7020 Fax: (818)540-6929 <br /> T.E.I. USTMONITOR CER TIFICA TION SUMMARY SHEET <br /> Client: <br /> Circle K Stores Work H: 20011916 <br /> 1500 North Priest Drive <br /> Tempe, Az 85281- Test Date: 61 7106 <br /> Kathy Strickland <br /> (209) 952-4515 <br /> Facility: <br /> Phillips Facility 4 05449 County: SAN JOAQUfN <br /> 7647 PACIFIC AVE Cross Street: PACIFIC AVE/RIVARA RD <br /> STOCKTON, CA 95207 <br /> Monitor model: VEEDER-ROOT TLS-350 <br /> Serial #: 50534088305001 <br /> Sensor Type: Quantity: Result: <br /> Tank Annular : 3 PASS Annular Type: WET <br /> Waste (ail Annular : 0 NIA Audible Alarm? Yes <br /> Waste Oil Sump: 0 N/A Visual Alarm? Yes <br /> Vadose Wells : 0 NIA Fail Safe? No <br /> Line Pressure : 0 NIA Positive Shut-off? No <br /> Turbine Sump : 3 PASS Gauge Only Result: PASS <br /> Line Trench : 0 N/A ATG Monthly Test? No <br /> Fill Sump : 0 NIA ATG CSLD? No <br /> Comments: Note 41: All tanks are empty and site is shutdown and fenced, therefore,turbines could not be <br /> activated to verify psd&failsafe. <br /> This certifies that the monitor and sensors,as listed above, are operational and calibrated per the <br /> manufacturer's specification. <br /> Inspected By: <br /> Michael Lcsslcy y <br />