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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br />STATION ADDRESS: 4315 WATERLOO RD <br />CITY: STOCKTON, CA <br />WIC#: 7524-2804 <br />Tank Material: <br />[XI Fiberglass <br />Tank Type: <br />[ ] Single Wall <br />Line Material: <br />[ X] Fiberglass <br />Line Type: <br />[ ] Single Wall <br />Waste Oil Tank Type: <br />[ l Single Wall <br />Waste Oil Line Type: <br />[ ] Single Wall <br />[ ] Steel <br />[ ] Fibersteel <br />[ X] Double Wall <br />FAIL <br />SAFE <br />[ ] Steel <br />[ ] Flex Line <br />[XI Double Wall <br />[ ] Trench Containment <br />[ ] Double Wall <br />[ ] Above Ground <br />[ ] Double Wall <br />[ l Direct Fill (No Product Lines) <br />TANK MONITORING SYSTEM <br />QTY <br />TYPE <br />POSITIVE <br />SHUT DOWN <br />FAIL <br />SAFE <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />2 <br />nterstiUa onitor <br />[ X ] Wet [ ] Dry Annular <br />No <br />No <br />Yes <br />VEEDER ROOT TLS350 <br />2 <br />Electronic Tank Level Monitor <br />Yes <br />Yes <br />VEEDER ROOT TLS350 <br />0 <br />Vadose Monitor <br />0 <br />Fill / Vapor Recovery Riser <br />No <br />No <br />Yes <br />VEEDER ROOT TLS350 <br />Comments: <br />WASTE OIL MONITORING SYSTEM <br />QTY <br />TYPE <br />OPERATIONAL <br />MANUFACTURER <br />MODELNUMBER <br />0 <br />Interstitial Monitor <br />[ ] Wet [ ] Dry Annular <br />0 <br />Mechanical Leak Detector <br />0 <br />Waste Oil Line Monitor <br />[ ] Wet [ ] Dry Annular <br />2 <br />0 <br />Fill / Vapor Recovery Riser <br />Yes <br />Yes <br />Comments: <br />LINE MONITORING SYSTEM <br />QTY <br />TYPE <br />POSITIVE <br />SHUT DOWN <br />FAIL <br />SAFE <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />0 <br />Mechanical Leak Detector <br />2 <br />Electronic Line Pressure Monitor <br />Yes <br />Yes <br />Yes <br />VEEDER ROOT TLS350 <br />0 <br />Electronic Line Pressure Monitor <br />with Mechanical Leak Detector <br />2 <br />Electronic Sump Monitor <br />No <br />No <br />Yes <br />VEEDER ROOT TLS350 <br />0 <br />Electronic Line Trench Monitor <br />I certify that the above information is accurate and functioning according to manufacturers specifications. <br />SIGNATURE: COMPANY: Tanknology-NDE <br />PRINT NAME: ANEIL CHAND <br />Rev: 12/4/95 <br />DATE: 04/06/98 <br />Page 1 of 3 <br />