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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br />STATION ADDRESS: 4315 WATERLOO RD <br />CITY: STOCKTON,STOCKTON <br />WIC# : 7524-2804 <br />Tank Material: <br />[X] Fiberglass <br />[ ] Steel <br />FAIL <br />SAFE <br />I l Fibersteel <br />Tank Type: <br />[ ] Single Wall <br />[X] Double <br />Wall <br />No <br />Line Material: <br />IXl Fiberglass <br />[ l Steel <br />Electronic Tank Level Monitor <br />I l Flex Line <br />Line Type: <br />[ ] Single Wall <br />IXl Double <br />Wall <br />I l Trench Containment <br />Waste Oil Tank Type: <br />[ ] Single Wall <br />[ ] Double <br />Wall <br />I l Above Ground <br />Waste oil Line Type: <br />[ ] Single Wall <br />I l Double <br />Wall <br />I l Direct Fill (No Product Lines) <br />T.i4NK 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 />n ersi is oni tor <br />[ X ] Wet I ] Dry Annular <br />No <br />No <br />Yes <br />TLS -350 <br />2 <br />Electronic Tank Level Monitor <br />Yes <br />Yes <br />TLS -350 <br />0 <br />Vadose Monitor <br />0 <br />Fill / Vapor Recovery Riser <br />No <br />No <br />Yes <br />TLS -350 <br />Comments: <br />wastE ai>'Mo�IroRlr� sYsT�n <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 I' . <br />QTY <br />TYPE <br />POSITIVE I <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 />TLS -350 PLLD'S <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 />TLS -350 <br />0 <br />Electronic Line Trench Monitor <br />I certify that the above information is accurate and functioning according to manufacturers specific. <br />SIGNATURE: 4 �x++ � COMPANY: Tanknology-NDE <br />PRINT NAME: MICHAEL T LEVESQUE <br />DATE : 04/09/97 <br />Rev: 12/4/95 Page 1 of 3 <br />