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0 • <br />TAIT Environmental Systems <br />General Contractors - CA bc. 9588098 <br />U.S.T. & A.S.T. MONITOR CERTIFICATION FORM <br />Testing Date: 8/5/99 <br />Site Location: PACIFIC BELL Tank ID(s): 1191 <br />44 W. YOKUTS AVENUE CLLC Code: SKTNCA15 <br />STOCKTON Geo Parcel — <br />County: SAN JOAQUIN Site Contact KEN MCDONALD <br />Site Contact Phone #: (209) 9A3 -A128 <br />Make & Model of Monitor System(s): VEEDER-ROOT TLS350 <br />Tank 1 Tank 2Tank 3 Tank A <br />Tank ID # 1191 <br />Type of Tank: (Single Wall or Double Wall) UST or AST DW/AST <br />Contents of Tank: DIESEL <br />Capacity of Tank: 3,000 <br />Type of Product Line: (Gravity, Suction, Pressure) SUCTION <br />Type of Piping: (Single Wall or Double Wall) DW <br />INDICATE THE SENSORS TESTED BY PLACING A YES, NO, OR N/A & PASS OR FAIL IN <br />CORRESPONDING BOX: <br />Tank 1 Tank 2 Tank 3 Tank A Sensor Type <br />Annular Space Sensor. <br />Fill Sump Senior. <br />Piping Sump Senior. <br />Piping Trench Sensor. <br />Dispenser Containment Sensor. <br />Problems Systems) <br />YES PASS <br />FOR PRESSURE TYPE SYSTEMS ONLY: <br />Tank 1 Tank 2 Tank 3 Tank A <br />Is Mechanical Line leak Detector Present & Tested?: <br />Does the Turbine Shut -Down if System Detects a Leak?: <br />iE- <br />Does Positive Shut Down Occur if Monitor System is fumed off?: <br />Is Tank Level Gauging System Present. Probe Type if Applicable- MAG <br />Type of Inn -Tank Leak Detection Test Performed by Monitor. .2 GPH DAILY <br />Does the Monitoring System have Audible & Visual Alarms? YES <br />Electronic Overfill/Level: 90'/0 <br />Is the Monitoring System installed to prevent unauthorized tampering?: YES <br />Is the Monitoring Devices operable as per manufacture's specifications? YES <br />Date: 8/5/99 Technician: BRANDON HAM <br />L�jnt Na e) <br />Certified Tester's ID #: 393435 <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 />ww .TAlT.com <br />