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*. <br />7; <br />TAIT Environmental Systems <br />YT <br />General Contractors - CA Lic. #588098 <br />U.S.T. & A.S.T. MONITOR CERTIFICATION FORM <br />Testing Date: <br />Site Location: PACIFIC BELL Tank ID(s): <br />907 LINCOLN ROAD CLLC Code: <br />STOCKTON <br />County: SAN JOAQUIN <br />8/5/99 <br />1171 <br />SKTNCAI I <br />Goo Parcel: UE -046 <br />Site Contact KEN MCDONALD <br />Site Contact Phone #: (20919A3 -A]28 <br />Make & Model of Monitor System(s): VEEDER-ROOT TLS -350 <br />Tank 1 Tank 2 Tank 3 Tank 4 <br />Tank ID # 1171 <br />Type of Tank: (Single Wall or Double Wall) UST or AST DW/UST <br />Contents of Tank: DIESEL <br />Capacity of Tank- 4,000 <br />Type of Product Line: (Gravity, Suction, Pressure) SUCTION <br />Type of Piping: (Single Wall or Dou6le Wall) DW <br />INDICATE THE SENSORS TESTED BY PLACING A YES, NO, OR N/A & PASS OR FAIL I <br />CORRESPONDING BOX: <br />Tank 1 Tank 2 Tank 3 Tank A Sensor IyEe <br />Annular Space Sensor. YES PASS <br />Fill Sump Sensor. YES PASS <br />Piping Sump Sensor. YES PASS <br />Piping Trench Sensor. <br />Dispenser Containment Sensor. <br />Problems System(s) <br />FOR PRESSURE TYPE SYSTEMS ONLY: <br />Tank 1 Tank 2 Tank 3 Tank,4 <br />Is Mechanical Line Lock Detector Present & Tested?: <br />Does the Turbine Shut -Down if System Detects a Leak?: <br />Does Positive Shut Down Occur if Monitor System is turned off?: <br />Is Tank Level Gouging System Present. Probe Type if Applicable. <br />Type of In. -Tank Look Detection Test Performed 6y Monitor. <br />Does the Monitoring System have Audi6le & Visual Alarms? <br />Electronic Overfill/Level: <br />Is the Monitoring System installed to prevent unauthorized tampering?: <br />Is the Monitoring Devices opera6le as per manufacture's specifications? <br />MAG <br />.2 GPH DAILY <br />YES <br />90% <br />YES <br />YES <br />Date: 8/5/99 Technician: BRANDON HAM <br />(Pri ame�� 9,,Y -, <br />Certified Tester: ID #: 39435 <br />(Signature) <br />701 North Parkcenter Drive • Santa Ana, California 92705 • (714) 560-8222 (714) 560-8237 fax <br />Regional Offices: San Diego - Concord - Sacramento • Phoenix • Tucson <br />www.TAIT.com <br />