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SHELL OIL C ANY-CERTIFICATION OF TANKMONIOIN� G SYSTEM- <br /> Facility WIC Number. per/— Z1212a'- O S Oa District <br /> ♦ p <br /> Facility Address: ,/D 21 y/��i /2J <br /> ,. <br /> Purpose of Visit: Z/2 -A Off/ <br /> Tank Material: Steell [ ] Fiberglass <br /> Line Material: KSteel { ] Fiberglass <br /> Product Tanks: Single Wall [ ] Double Wall <br /> Product Lines: Single Wall ( ] Double Wall <br /> Waste Oil Tank: ( ] Single Wall Double Wall ( j None <br /> PRODUCT TANK MONITORING SYSTEM: <br /> OTY TYPE <br /> ( j Interstitial Monitor ( ] Wet ( ] Dry <br /> [ ] Vadose Zone Monitoi <br /> ( ] FBI/Vapor Recovery Risers <br /> ( ] Monitored Visually (Daly Inventory) <br /> Manufacturer. [ ] API Reservoir [ ] API IR (VADOSE) <br /> [ ] API MOS(VADOSE) [ j Genelco ( ] Leakalert <br /> ( ] OC reservoir [ ] Pollualert [ ] Red Jacket <br /> [ ] Sol Sentry ( ] Spearhead ( ] Other <br /> Model <br /> Arriving Status: [ ] Operational [ j Non-operational <br /> Corrective Action: [ ] Performed [ ] Required <br /> Departing Status: [ j Operational [ ] Non-operational <br /> REMARKS: G +/ C--C(— U PS L)CrJ�x <br /> PRODUCT LINE MONITORING SYSTEM: <br /> OTY TYPE <br /> ( ] Electronic Line Pressure Monitor w/ Mech. Leak Detector <br /> ( ] Electronic Line Pressure Monitor w/o Mech. Leak Detector AUG 19 1992 <br /> [ ] Interstitial Monitor w/ Mech. Leak Detector <br /> [ ] Mechanical Leak Detector Alone liNVIRONMENTAL HEALD <br /> KRMI [/bUiVIGL3 <br /> Electronic Line Pressure or Interstitial Monitor Manufacturer. <br /> ( ] API Pressure [ ] API Sump [ ] API Sump/Line <br /> [ ] Leakalert ( ] Other <br /> Model: w a� <br /> Arriving Status: [ ] Operational ( ] Non-operational <br /> .Corrective Action: [ ] Performed ( ] Required <br /> Departing Status: [ ] Operational [ ] Non-operational <br /> Continued on Perverse <br />