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1.13) 6 -Au Oil• •' • <br />STATION ADDRESS: 1960 W. 11TH STREET <br />CITY: TRACY, CA <br />WIC# : 201303 <br />Tank Material: <br />[X] Fiberglass <br />( ) Steel <br />[ ) Fibersteel <br />Tank Type: <br />[ ] Single Wall <br />[X) Double Wall <br />Yes <br />Line Material: <br />[ ) Fiberglass <br />I ) Steel <br />[ ) Flex Line <br />Line Type: <br />( ) Single Wall <br />[X) Double Wall <br />[ ] Trench Containment <br />Waste Oil Tank Type: <br />[ ] Single Wall <br />( ) Double Wall <br />[ ] Above Ground <br />TANKA T�. las srEr ..:. E T FaE.�. > ....... ... 1. 7.. <br />Q F��a-na AL. <br />C �a R�r.[a �L.:' <br />OTY TYPE <br />POSITIVE FAIL OPERATIONAL <br />SHUT DOWN SAFE <br />MANUFACTURER <br />MODEL NUMBER <br />nters tia oni or <br />3 [ ] Wet [ X ] Dry Annular <br />No No Yes <br />TLS -350 <br />3 Electronic Tank Level Monitor <br />Yes <br />TLS -350 <br />0 Vadose Monitor <br />3 Fill / Vapor Recovery Riser <br />No <br />No No <br />TLS -350 <br />Comments: FILL SENSORS DISCONNECTED. <br />. <br />,WASTE:..0I :.: Qfi -TORIN . Ys :.. ER � E�.:.....:.:...1.::.oPERAT ....:......I:.. *E �,nca :. :... <br />QTY <br />TYPE OPERATIONAL MANUFACTURER <br />MODELNUMBER <br />0 <br />Interstitial Monitor <br />[ ) Wet [ ) Dry Annular <br />0 <br />Fill / Vapor Recovery Riser <br />Comments: <br />... <br />...... ................... ....... - ....................... <br />,. CX ;.: CiRATiab#AL ... :.... , NpN. fF�EA�QN,Ri. <br />�:kNE �flLfAtlTi}RING SYS7E.M .:GER��FtE®x <br />OTY TYPE POSITIVE <br />SHUT DOWN <br />I FAIL OPERATIONAL MANUFACTURER <br />SAFE MODEL NUMBER <br />0 Mechanical Leak Detector <br />3 Electronic Line Pressure Monitor Yes <br />Yes Yes V/R PLLD <br />Electronic Line Pressure Monitor <br />0 with Mechanical Leak Detector <br />3 Electronic Sump Monitor No <br />No Yes TLS -350 <br />0 Electronic Line Trench Monitor <br />I certify that the above information is accurate and functioning according to manufacturers specific <br />SIGNATURE: coMPANY: NDE Environmental Corp. <br />PRINT NAME: MICHAEL T LEVESQUE DATE: 05/12/99 <br />Rev: 1/31/95 Page 1 of 3 <br />