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Ti'1iT <br />TAR ENVIRONMENTAL SYSTEMS <br />U.S.T. & A.S.T. MONITOR CERTIFICATION FGRM#588098•AZLlc.#095984 <br />Testing Date: <br />Site Location: PACIFIC BELL Tank ID(s): <br />7717 S. MCKINNLEY CLLC Code: <br />STOCKTON Geo Parcel: <br />County: SAN JOAQUIN Site Contact: <br />Make & Model of Monitor System(s): <br />Tank ID # <br />Type of Tank: (Single Wall or Double Wall) UST or AST <br />Contents of Tank: <br />Capacity of Tank: <br />Type of Product Line: (Gravity, Suction, Pressure) <br />Type of Piping: (Single Wall or Double Wall) <br />Site Contact Phone # <br />VEEDER-ROOT TLS -350 <br />Tank 1 Tank 2 <br />807 <br />DW/UST <br />DIESEL <br />2,000 <br />SUCTION <br />DW <br />INDICATE THE SENSORS TESTED BY PLACING A YES, NO, OR NIA & PASS OR FAIL IN <br />BOX: <br />Annular Space Sensor: <br />Fill Sump Sensor: <br />Piping Sump Sensor: <br />Piping Trench Sensor: <br />Dispenser Containment Sensor: <br />Problems System(s) <br />807 <br />SKTNCA14 <br />UE -148 <br />RON STANLEE <br />(209) 4544560 <br />Tank 3 1 Tank 4 <br />Tank 1 Tank 2 Tank 3 Tank 4 Sensor Type <br />YES PASS <br />NO <br />YES PASS <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 />Is Tank Level Gauging System Present. Probe Type if Applicable. MAG <br />Type of In -Tank Leak Detection Test Performed by Monitor: .2 <br />Does the Monitoring System have Audible & Visual Alarms? YES <br />Electronic OverfilIA-evel: 90% <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: 816198 Technician: BRANDON HAM <br />Certified Tester's ID #: 569-39-3435 E=ml <br />�� <br />(Signature) <br />1100 Town & Country Road • Suite 1200 • Orange, CA 92868 • (714) 560-8222 • (714) 560-8211 FAX <br />Other Locations: San Diego, CA • Concord, CA • Sacramento, CA • Phoenix, AZ • Tucson, AZ <br />Established 1964 <br />