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MONITOR CERTIFICATION FORM <br />CUSTOMER: THE SOUTHLAND CORPORATION SITE I.D.: 7 -ELEVEN 19976 <br />ADDRESS: MARKET 2235 <br />1399 N. MAIN ST <br />MANTECA, CA 95336 <br />WORK ORDER: 2202930 <br />DATE: 11/04/97 <br />1) IN TANK PROBES <br />MANUFACTURER: TIDEL MODEL NUMBER: EMS2000 <br />SERIAL NUMBER: 070681T NUMBER OF TANKS MONITORED: 3 <br />SET UP FOR MONTHLY TEST (Y/N): YES LAST TEST DATE: 11/04/97 PASSED/FAILED: PASSED <br />DOES THE SYSTEM DISPLAY OR PRINT <br />OUT MONTHLY TEST RESULTS (Y/N ): YES TYPE (DISPLAY OR PRINT OUT): PRINT OUT <br />OPERATIONAL (Y/N ): YES <br />COMMENTS: <br />PUL 10/31/97 RUL 10/9/97 MUL11/4/97 <br />2) OTHER PROBES: MANUFACTURER: TIDEL <br />MODEL: EMS2000 <br />PROBE LOCATION <br />NUMBER OF <br />PROBES <br />LIQUID, FLOAT. SW, <br />OR VAPOR SENSOF <br />POSITIVE SHUT <br />DOWN (Y/N) <br />FAIL SAFE (Y/N) <br />OPERATIONAL <br />(Y/N) <br />ANNULAR PROBE <br />3 <br />LIQUID <br />NO <br />NO <br />YES <br />TURBINE SUMP <br />3 <br />FLOAT <br />NO <br />NO <br />YES <br />FILL SUMP <br />0 <br />FIBERTRENCH <br />0 <br />MONITORING WELL <br />0 <br />DISPENSER PAN <br />2 <br />FLOAT <br />NO <br />NO <br />YES <br />OTHER <br />ANNULAR SPACE FILLED WITH MONITORING FLUID? DRY <br />COMMENTS: <br />PAGE 1 OF 2 <br />