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C � • <br /> SHELL OIL CO NY-CERTIFICATION OF TANK MONIING SYSTEM" <br /> Facility WIC Number: <br /> e <br /> Facility Address: e� 7' <br /> Purpose of Visit: Gl��t SYZ" U'X/ <br /> Tank Material ,(Steel [ ) Fiberglass <br /> Line Material: Steel [ ] Fiberglass <br /> Product Tanks: VA Single Wall ( ] Double Wall <br /> Product Lines: ( Single Wall [ ) Double Wall <br /> Waste Oil Tank: ( ] Single Wall (f] Double Wall ( ] None <br /> PRODUCT TANK MONITORING SYSTEM: <br /> QTY TYPE <br /> ( Interstitial Monitor [ ] Wet ( ] Dry <br /> [ ] Vadose Zone Monitor <br /> [ ) FRI/Vapor Recovery Risers <br /> Monitored Visually (Daly Inventory) <br /> Manufacturer. [ ] API Reservoir ( j API IR (VADOSE) <br /> [ ] API MOS(VADOSE) ( j Genelco [ ] Leakalert <br /> [ ] OC reservoir [ ] Pollualert [ ] Red Jacket <br /> [ ] Sol Sentry [ ] Spearhead ( j Other <br /> Model: <br /> Arriving Status: [ ] Operational ( ] Non-operational <br /> Corrective Action: [ J Performed [ j Required <br /> Departing Status: [ ] Operational ( ] Nonoperational <br /> REMARKS: V✓Lc n7 i 4_0 )"( ,Q U 1 S t « <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 ENVIRONMENTAL HEALTH <br /> Electronic Line Pressure or Interstitial Monitor Manufacturer. <br /> [ ] API Pressure [ ] API Sump [ ] API Sump/Line <br /> [ ] Leakalert [ ] Other <br /> Model: (- , j -S tiJ re <br /> Arriving Status: [ ] Operational [ ] Non-operational <br /> .Corrective Action: [ ] Performed [ j Required <br /> Departing Status: ( ] Operational [ ] Non-operational <br /> Continued on Reverse <br />