Laserfiche WebLink
ti <br /> �1 <br /> u Environmental Management P.O.Box 5095 <br /> Pacific Region Room 3E000 <br /> San Ramon,CA 94593 <br /> UST & AST MONITOR CERTIFICATION FOR <br /> Testing Date: 08-04-00 <br /> Next Due Date: 08-04-01 <br /> Site Location: PACIFIC BELL Tank ID(s): 795 <br /> 124 W. ELM STREET CLLC Code: LODICA01 <br /> LODI Geo Parcel: UE-020 <br /> County: SAN JOAQUIN Site Contact KATHY HALLIGAN <br /> Site Contact Phone#: 209-474-4514 <br /> Make&Model of Monitor System(s): VEEDER ROOT TLS-2501 <br /> Serial#of Monitor System(s): 22065 <br /> Tank 1 Tank 2 Tank 3 Tank 4 <br /> Tank ID# 795 <br /> Type of Tank: (Single Wall or Double Wall)UST or AST DW-UST <br /> Tank Material(Composit, Fiberglass,etc.) COMP <br /> Contents of Tank: DSL <br /> Capacity of Tank: 4016 <br /> Type of Product Line: (Gravity,Suction,Pressure) SUCTION <br /> Type of Piping: (Single Wall or Double Wall) DW <br /> ALL SYSTEMS FTak 1 Jank 2 Tank 3 Tank 4 FFLOAT <br /> Type <br /> Discrim,etc. <br /> Annular Space Sensor: S PASSFill Sump Sensor: S PASS Piping Sump Sensor: YES PASS <br /> Piping Trench Sensor: <br /> Dispenser Containment Sensor: <br /> Other Types(Sensors): Compartmented Tanks) <br /> Type of Overfill Protection(mechanical,electronic,ball float) ELECTRONIC <br /> Type of Spill Containment(Make&Model) 5 GALLON POMECO <br /> FOR PRESSURE TYPE SYSTEMS ONLY <br /> Tank 1 Tank 2 Tank 3 Tank 4 <br /> Is Mechanical Line Leak 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 /> ALL SYSTEMS <br /> In-Tank Gauge Present. Probe Type and Type of Leak Detection(Ex. .2 gph). YES CAP .2 <br /> Does the Monitoring System have Audible&Visual Alarms? YES <br /> Is the Monitoring System installed to prevent unauthorized tampering?: YES <br /> Is the Monitoring Devices operable as per manufacture's specifications? YES <br /> Testing Company: TAIT ENVIRONMENTAL SYSTEMS <br /> Date: 08-04-00 Technician: BRANDON HAM <br /> tNa ) <br /> Certified Tester's ID#: 39-3435 <br /> (Signature) <br />