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OIL EQUIPMENT SERVICE S IATE LICENSE Nu.321117 <br /> 1' <br /> 1 :VS5.IF ICA1'1ON: A-1 AZ., t I UJB <br /> Division of Keith A. Ta Hia, Inc' 5ll\'I t:I•:N w l RONMEN'IAL ASSESS')R Na. 01781 <br /> Telephone: 09)754-1808 <br /> Fax: 09)754-5726 <br /> Post ffice Box 950 <br /> 750 Industrial Way <br /> SAN ANDREAS.CALIFORNIA 95249 <br /> DISPENSER CONTAINMENT 8 MONITORING SURVEY <br /> FACILITY NAME Bob Cat Central <br /> ADDRESS 1113 Shaw Rd. , Stockton, CA 95205 <br /> 1 ) _ Is secondary containment present under all dispensers <br /> ( including satellite dispensers) ? YES NO <br /> (If the answer is NO to item 1/1 , skip to the bottom of this <br /> form. ) <br /> 2) . What type of material is the dispenser containment made <br /> of? <br /> Manufacturer Model <br /> 3) . If the dispenser containment is made of corrodible materia , <br /> is it cathodically protected? YES NO <br /> What method of corrosion protection? <br /> 4 ) _ Is the dispenser containment continuously monitored <br /> electronically or by a float mechanism in the bottom of the <br /> secondary containment which trips the shear valve in the case <br /> of a leak? YES NO <br /> Manufacturer Model <br /> I James P. Hesketh certify that I have completed <br /> print name <br /> this form to the best of my ability by way of physical inspecti n <br /> of the dispenser containment areas. <br /> Technician Signature !i� i�kf�C _ 7 Date 4/9/01 <br /> Technician Printed / ames P. Hesketh <br />