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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br /> STATION ADDRESS: 1071 N.MAIN <br /> CITY : MANTECA <br /> WIC#: 4728-0502 <br /> Tank Material: [ ] Fiberglass [ X] Steel [ ] Fibersteel <br /> Tank Type: [ X] Single Wall [ ) Double Wall <br /> Line Material: [ ] Fiberglass [ X] Steel [ ] Flex Line <br /> Line Type: [ X] Single Wall [ ] Double Wall [ ] Trench Containment <br /> Waste Oil Tank Type: [ ] Single Wall [ X] Double Wall [ ) Above Ground <br /> TANK MONITORING SYSTEM- CERTIFIED: [ X] OPERATIONAL ( ] NON-OPERATIONAL__ <br /> QTY TYPE POSITIVE* FAIL* OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> Interstitial Monitor <br /> Wet Annular Yes No Yes No Yes No <br /> 1 Electronic Tank level Monitor X Yes No RONAN X76ETM <br /> Vadose Monitor Yes No Yes No Yea No <br /> Fill/Vapor Recovery Riser Yes No I Yes No Yes No <br /> All Monitor Visually All Underground Product Tanks Are Monitored Using Inventory Reconciliation. <br /> *Positive Shut Down and Fail Safe are NOT required under Title 23,Division 3,Chapter 16 of the California Code of Regulations. <br /> WAST_E OIL MONITORING SYSTEM-CERTIFIED: [ X] OPERATIONAL [ I 'NON-OPERATIONAL <br /> QTY TYPE OPERATIONAL MANUFACTURER <br /> MODEL NUMBER <br /> Interstitial Monitor <br /> 1 fxl Wet Annular X Yes No RONAN X76S <br /> Fill/Vapor Recovery Riser Yes No <br /> Monitoring Visually Inventory Reconciliation: Yes No <br /> LINE MONITORING SYSTEM- CERTIFIED: [ X] OPERATIONAL [ ] NON-OPERATIONAL <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> 3 Mechanical Leak Detector X Yes No 3-XLP <br /> Electronic Line Pressure Monitor Yes No Yea No Yes No <br /> Electronic Line Pressure Monitor <br /> with Mechanical Leak Detector Yes No Yes No Yes No <br /> Electronic Tank Sump Monitor Yes No Yes No Yes No <br /> Electronic Line Trench Monitor I Yes No Yes No Yes No <br /> I CERTIFY THAT THE ABOVE CERTIFICATION INFORMATION IS ACCURATE AND TRUE. <br /> SIGNATURE: , �/ ,..,0�- COMPANY: NDE Environmental <br /> PRINTNAME, MIKE LEVESQUE / DATE: 03/06/95 <br /> Rev:12/31/94 Page 1 of 3 <br />