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4i <br /> I]IALYSIS �"�` CERTIFIED 800-227-7879 <br /> -'' TANK TESTING 805-520-4858 <br /> P.O. BOX 3178 * S IMI VALLEY, CA 93093 TANK CLEANING FAX 805-527-3854 <br /> U.S.T. MONITORING EQUIPMENT <br /> INSPECTION REPORT <br /> * * IMPORTANT DOCUMENT <br /> YOUR LOCAL REGULATORY AGENCY MAY REQUIRE A COPY OF THIS <br /> REPORT, PLEASE KEEP WITH YOUR U.S.T. DOCUMENTS. <br /> COMPANY NAME: Pacific Bell <br /> LOCATION : SKTNCA11 <br /> 907 Lincoln Road <br /> Stockton, California 95207 <br /> On Tuesday September 19, 1995 Dialysis Company, a duly authorized service representative of Veeder <br /> Root environmental products, certified one TLS-2501 console, on a underground storage tank <br /> monitoring panel, Serial Number#22063 . <br /> The following items were tested individually and found to be in working order: <br /> Annular Space Sensor(s): <br /> Liquid Sump Sensor(s): <br /> Combo Sensor(s): <br /> Line Sensor(s): <br /> TLM Probe(s): 1 <br /> Comments: Panel and probe tested and certified,was found to be functioning per manufacturers <br /> specifications. Single wall tank and product line tested by NDE. Tank has 2" of water in it, suggest <br /> tank cleaning. Site does not have a sump. <br /> The alarm panel was tagged with a Dialysis Company Seal. <br /> SIGNED BY: L <br /> Tamara Zimmerman, Ow e <br />