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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br />STATION ADDRESS: 301 WXETTLEMAN LANE <br />CITY: LODI, CA <br />WIC#: 95775 <br />TYPE <br />POSITIVE <br />SHUT DOWN <br />FAIL <br />SAFE <br />OPERATIONAL <br />Tank Material: <br />[XI <br />Fiberglass <br />[ ] Steel <br />[ ] Fibersteel <br />Tank Type: <br />[XI <br />Single Wall <br />[ ] Double Wall <br />Line Material: <br />[ X ] <br />Fiberglass <br />[ ] Steel <br />[ ] Flex Line <br />Line Type: <br />[ X ] <br />Single Wall <br />[ ] Double Wall <br />[ ] Trench Containment <br />Waste Oil Tank Type: <br />[XI <br />Single Wall <br />[ J Double Wall <br />[ ] Above Ground <br />TANK MONITORING SYSTEM - CERTIFIED: <br />[ ] OPERATIONAL <br />[ ] NON -OPERATIONAL <br />OTY <br />TYPE <br />POSITIVE <br />SHUT DOWN <br />FAIL <br />SAFE <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />0 <br />nterstitas onitor <br />[ ] Wet [ ] Dry Annular <br />0 <br />Fill / Vapor Recovery Riser <br />0 <br />0 <br />Electronic Tank Level Monitor <br />0 <br />Vadose Monitor <br />0 <br />Fill / Vapor Recovery Riser <br />Comments: <br />WASTE OIL MONITORING SYSTEM - CERTIFIED: [ ] OPERATIONAL [ ] NON -OPERATIONAL <br />CITY <br />TYPE <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />0 <br />Interstitial Monitor <br />[ ] Wet [ ] Dry Annular <br />0 <br />Mechanical Leak Detector <br />0 <br />Fill / Vapor Recovery Riser <br />0 <br />Comments: <br />LINE MONITORING SYSTEM - CERTIFIED: ( 1 OPERATIONAL [ ] NON -OPERATIONAL <br />OTY <br />TYPE <br />POSITIVE <br />SHUTDOWN <br />FAIL <br />SAFE <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />0 <br />Mechanical Leak Detector <br />0 <br />Electronic Line Pressure Monitor <br />0 <br />Electronic Line Pressure Monitor <br />with Mechanical Leak Detector <br />0 <br />Electronic Sump Monitor <br />0 <br />Electronic Line Trench Monitor <br />I certify that the above information is accurate and functioning according to manufacturers specifications. <br />�SIGNATURE: � ` ` 0 "�'.I COMPANY: NDE Environmental Corp. <br />PRINT NAME: DAVID MATHIE <br />DATE: 04/09/98 <br />Rev: 1/31/95 Page 1 of 3 <br />