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ZNTTAIT Environmental Systems <br />General Contractors - CA Lic 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): 1171 <br />907 LINCOLN ROAD CLLC Code: SKTNCAI 1 <br />STOCKTON Geo Parcel: UE -0A6 <br />County: SAN JOAQUIN Site Contact KEN MCDONALD <br />Site Contact Phone #: (209) 9A3-4128 <br />Make & Model of Monitor System($): VEEDER-ROOT TLS -350 <br />tDIESEL <br />Tank 2 =3Tank <br />Tank ID # <br />Type of Tank: (Single Wall or Double Wall) UST or AST <br />Contents of Tank: Capacity of Tank: Type of Product Line: (Gravity, Suction, Pressure) N <br />Type of Piping: (Single Wall or Double Wall) DW <br />INDICATE THE SENSORS TESTED BY PLACING A YES, NO, OR N/A & PASS OR FAIL IN <br />CORRESPONDING BOX: <br />Annular Space Sensor. <br />Fill Sump Sensor. <br />Piping Sump Sensor. <br />Piping Trench Sensor. <br />Dispenser Containment Sensor. <br />Problems System($) <br />Tank 1 Tank 2 Tank 3 Tank A Sensor -Type <br />YES MA55 <br />YES YES <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 />Does Positive Shut Down Occur if Monitor System is fumed off?: <br />Is Tank Level Gauging System Present. Probe Type if Applicable. —MAG <br />GPH DAILY <br />Type of In -Tank Leak Detectir: on Test Performed by Monitor. <br />Does the Monitoring System have Audible &visual Alarms? YES <br />Electronic Overfill/Level: <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 />(Priame) LI _ <br />Certified Tester's ID #: 39.3A35 111 <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 />w .TAIT.com <br />