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QTY <br />TYPE <br />TANK; MONITORING <br />POSITIVE FAIL <br />SHUT DOWN SAFE <br />SYSTEM <br />OPERATIONAL <br />SERVICE STATION MONITORING SYSTEM CERTIFICATION <br />STATION ADDRESS: 2575 COUNTRY CLUB <br />InterstitiaMonitor <br />[ X ] Wet [ ] Dry Annular <br />No No <br />CITY: STOCKTON, CA <br />TLS 350 <br />3 <br />Electronic Tank Level Monitor <br />WIC#: 7524-3505 <br />Yes <br />TLS350 +W/O <br />0 <br />Tank Material: <br />[XI Fiberglass <br />[ ] Steel <br />[ ] Fibersteel <br />Tank Type: <br />[ ] Single Wall <br />[ X] Double Wall <br />2 <br />Line Material: <br />[XI Fiberglass <br />[ ] Steel <br />[ ] Flex Line <br />Line Type: <br />[ ] Single Wall <br />[XI Double Wall <br />[ ] Trench Containment <br />Waste Oil Tank Type: <br />[ ] Single Wall <br />[XI Double Wall <br />[ ] Above Ground <br />Waste Oil Line Type: <br />[ ] Single Wall <br />[ ] Double Wall <br />[ X ] Direct Fill (No Product Lines) <br />QTY <br />TYPE <br />TANK; MONITORING <br />POSITIVE FAIL <br />SHUT DOWN SAFE <br />SYSTEM <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />2 <br />InterstitiaMonitor <br />[ X ] Wet [ ] Dry Annular <br />No No <br />Yes <br />TLS 350 <br />3 <br />Electronic Tank Level Monitor <br />Electronic Line Pressure Monitor <br />Yes <br />TLS350 +W/O <br />0 <br />Vadose Monitor <br />0 <br />Electronic Line Pressure Monitor <br />with Mechanical Leak Detector <br />0 <br />Fill / Vapor Recovery Riser <br />2 <br />Electronic Sump Monitor <br />Yes <br />Yes <br />Comments: <br />TLS 350 <br />WASTE OIL M <br />QTY I TYPE OPERATIONAL <br />1 J[X] Wet [ ] Dry Annular Yes TLS 350 <br />Waste Oil Line Monitor <br />0 [ ] Wet [ ] Dry Annular <br />0 Fill / Vapor Recovery Riser <br />Comments: <br />� �w�r_=;ww�ueT�n�c��r'c�uarc�e <br />MANUFACTURER <br />MODELNUMBER <br />QTY <br />TYPE <br />POSITIVE <br />SHUTDOWN <br />FAIL <br />SAFE <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />2 <br />Mechanical Leak Detector <br />Yes <br />RED JCKT VAPORLES <br />0 <br />Electronic Line Pressure Monitor <br />0 <br />Electronic Line Pressure Monitor <br />with Mechanical Leak Detector <br />2 <br />Electronic Sump Monitor <br />Yes <br />Yes <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 specifications. <br />A <br />SIGNATURE: `� COMPANY: Tankn®lOgy-NDE <br />PRINT NAME: DAVID MATHIE <br />Rev: 12/4/95 <br />DATE: <br />Page 1 of 3 <br />03/31/98 <br />