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IDIALYSI``yV <br />rk <br />P.O. BOX 3178 * SIMI VALLEY, CA 93093 <br />41 <br />CERTIFIED <br />TANK TESTING <br />TANK CLEANING <br />MONITOR CERTIFICATION <br />U.S.T. MONITORING EQUIPMENT <br />INSPECTION REPORT <br />* * * IMPORTANT DOCUMENT * * * <br />YOUR LOCAL REGULATORY AGENCY WILL REQUEST TO VIEW THIS <br />CERTIFICATE, PLEASE KEEP A COPY AT THE FACILITY. <br />COMPANY NAME: Pacific Bell <br />LOCATION: SKTNCAI4 <br />UE -1481 #8037 <br />7700 McKinley <br />Stockton/French camp CA 95205 <br />On Thursday, August 29 1996, Diaiysis Company, an authorized service representative of Veeder- <br />Root Environmental Products, certified one TLS250 console, on an Underground Storage Tank <br />System. Serial Number # 9553, site is also equipped with an API Ronan console, Serial Number <br /># 8-0111. <br />ZZ <br />n= <br />800-227-7879 <br />805-520-4858 <br />FAX 805-527-3854 <br />The following items were tested individually and found to be in working order: <br />Annular Space Sensors):1 Float <br />Sump Sensor(s): 1 Float <br />TLM Probe(s): I Cap <br />Alarm Simulation: high / Low, Pass <br />Tank Types):1!2,000 Diesel, Double Wall underground Tank, & bine. Suction <br />Comments: Panel, probe and sensors were found to be functioning as per manufactures <br />specifications. Site is equipped with two monitors. To be upgraded to a 350 in 1997, Double wall <br />Tank and line. Tank, and line testing are not required. Cleaned the sump. Suction system. <br />The alarm panel was tagged with a Dialysis Company Seal. <br />SIGNED BY: <br />Tamara Zimmerman, <br />