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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br /> STATION ADDRESS: 1313 E CHARTER WAY <br /> CITY : STOCKTON, CA <br /> WIC#: 7524-M2 <br /> Tank Material: [ ] Fiberglass [ X] Steel [ ] Fibersteel <br /> Tank Type: [ X] Single Wall [ ] Double Wall <br /> Line Material: [ ] Fiberglass [ X] Steel [ ] Flex Line <br /> Line Type: [ X] Single Wall [ ] Double Wall [ ] Trench Containment <br /> Waste Oil Tank Type: [ ] Single Wall [ ] Double Wall [ ] Above Ground <br /> TANK MONITORING SYSTEM- CERTIFIED: [X] OPERATIONAL [ ) NON-OPERATIONAL <br /> QTY TYPE POSITIVE* FAIL* OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> Interstitial Monitor <br /> Wet I I Dry Annular Yes No Yes No Yes Na <br /> 1 Electronic Tank Level Monitor X Yes No RONAN X76ETM <br /> Vadose Monitor Yes No Yu No Yes No <br /> Fill/Vapor Recovery Rise I Yes No Yea No Yes No <br /> All Monitor Visually All Underground Produa Tanks An Monitored Using Inventory Reconciliation. <br /> •Positive Shut Lown sod Fail Safe are NOT required under Title 23,Division 3,Chapter 16 of the California Code of Regulations. <br /> WASTE OIL MONITORING SYSTEM-CERTIFIED: [ ] OPERATIONAL [ 14ON-OPEkATIONAL <br /> QTY TYPE OPERATIONAL MANUFACTURER <br /> MODEL NUMBER <br /> Interstitial Monitor <br /> Wet I I Dry Annular Yea No <br /> ' <br /> Fill/Vapor Recovery Riser Yea No <br /> Monitoring Visually Inventory Reconciliation: Yes No <br /> LINE MONITORING SYSTEM- CERTIFIED: [XI^OPERATIONAL [ ] NON-OPERATIONAL <br /> QTY ' TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> QT� <br /> SHUT DOWN SAFE MODEL NUMBER <br /> 3 Mechanical Leak Detector X Yes No 2-LD•210 ,1•XLP <br /> Electronic Line Pressure Monitor Yea No Yes No Yea No <br /> Electronic Line Pressure Monitor <br /> with Mechanical Leak Detector Yes No Yes No Yes No <br /> Electronic Tank Sump Monitor Yes No Yes No Yes No <br /> Electronic Line Trench Monitor Yea No Yes No Yes No <br /> I CERTIFY THAT THE ABOVE CERTIFICATION INFORMATION IS ACCURATE AND TRUE. <br /> SIGNATURE: ,/ p COMPANY: NDE Environmental <br /> PRNTNAME: MIKE LEVESQUE DATE. 031OV95 <br /> Rev: 12131/94 Page I of <br />