Laserfiche WebLink
0 IL T SERA <br />Div%ion of Keith A. Ta Ilia, Inc. <br />0 <br />STATE LICENSE No. 323417 <br />CLASSIFICATION: A-HAZ., C61D40 <br />STATE ENVIRONMENTAL ASSESSOR No. 01781 <br />Telephone: (209) 754-1808 ! <br />Fax: (209) 754-5726 1 <br />Post Office Box 950 <br />750 Industrial Way I( <br />SAN ANDREAS, CALIFORNIA 952491 <br />Continuous Monitoring Device Certification <br />TEST DATE 6/7/99 I FACILITY NUMBER <br />FACILITY NAMENorm° S 1176°° I CONTACT PERSON Grecl W7 7_snn l <br />ADDRESS633 E. 1C ! TE! EPHONE 209-367-1791; - I <br />CITY Lodi ZIP CODE 95240 I <br />MAKE AND MODEL OF iMONITORING SYSTE?A TLS 250: Model & Serial No. -Unreadable � <br />TANK I TANK? TANK 3 TANK 4 <br />Contents afTank i 92 Oc 89 Oct 87 Oct <br />i Gas <br />-- _I <br />Caoacity of Tank 112K 1 2K 112K i f <br />I Type of Frcduct Lire: (Gravid, Suc:icn, Pressure';. <br />IP i P IP I <br />t..r.r�nrr . nTrnr.r nc Tuc RAnnnTnatntr, CF1tCnP Z: Tic7F1 ;V DI Ar`wr-_ A YFC np \In IN APPL ICABLF Box, <br />Annular Space Sensor <br />E Yes <br />Yes <br />Yes <br />Fill Sump Sensor <br />[No <br />No <br />No <br />Turbine Sump Sensor <br />( Yes <br />Yes <br />Yes <br />Dispenser Containment Sensor <br />No <br />No <br />No <br />Electronic Overfill I Level 90% <br />I Yes <br />Yes <br />' Yes <br />Is the monitoring system operable as per the manufacturer's specifications? <br />Electronic In -Line Leak Detector <br />No <br />I No <br />No <br />Mechanical Line Leak Detector <br />I In Tank Gauging Device _I <br />Yes <br />I Yes <br />I Yes <br />Imr)ir`ATG THF Frm I n1A1111(_ RY PI Actw. A YFS nR Nn IN ApPI lcARI F Rnx- <br />Does the monitoring system have audible and visual alarms? <br />Yes <br />Yes <br />Yes <br />Does the turbine automatically shut -down if the system detects <br />a leak, fails to operate or is electronically disconnected? <br />No <br />No <br />NO <br />Is the monitoring system installed to prevent unauthorized tampering? <br />NoN <br />Is the monitoring system operable as per the manufacturer's specifications? <br />Yes <br />Yes <br />Ye <br />Which continuous monitoring devices initiate positive shut -down of the turbine? None <br />CERTIFIED TESTER'S ID# 0669-6 DATE 6/7/99____ <br />SIGNATURE- OF CER ( IFIt D TE ()fNICIAN <br />- - <br />Pmi,j r D NANIF Of Ca I2 EIFIFU I [-(:I INICIAN James P. Hesketh <br />FLSTING COMPANY NAME & ILLEPEIONI= # Oil Equipment Service 209-7547180 - 8 <br />ATTACH ALL CERTIFICATION DATA TO VERIFY THE INFORMATION ABOVE.' <br />