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DIALYSIS ' I` - ROV <br />P.O. BOX 3178 * SIMI VALLEY, CA 93093 <br />CERTIFIED <br />TANK TESTING <br />TANK CLEANING <br />U.S.T. MONITORING EQUIPMENT <br />INSPECTION REPORT <br />* * * IMPORTANT DOCUMENT * * * <br />YOUR LOCAL REGULATORY AGENCY MAY REQUIRE A COPY OF THIS <br />REPORT, PLEASE KEEP WITH YOUR U.S. T. DOCUMENTS. <br />COMPANY NAME: Pacific Bell <br />LOCATION : SKTNCAI4 <br />7700 McKinley (French Camp) <br />Stockton, California 95205 <br />800-227-7879 <br />805-520-4858 <br />FAX 805-527-3854 <br />On Tuesday September 19, 1995 Dialysis Company, a duly authorized service representative of Veeder <br />Root environmental products, certified one TLS250 console, underground storage tank monitoring <br />panel, Serial Number 9553. <br />The following items were tested individually and found to be in working order: <br />Annular Space Sensor(s): 1 <br />Liquid Sump Sensor(s): i <br />Combo Sensor(s): <br />Line Sensor(s): <br />TLM Probe(s): 1 <br />Comments: Panel and probe tested and certified, were found to be functioning per manufacturers <br />specifications. Double wall tank and product line, tank and line testing not required. System also <br />equipped with a APT Ronan montior. <br />The alarm panel was tagged with a Dialysis Company Seat. <br />SIGNED BY: <br />Tamara Zimmerman, Own <br />