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MONITOR CERTIFICATION FORM <br /> CUSTOMER: i-ELEVEN, INC. SITE I.D.: 7-ELEVEN#32190, DATE: 08/12/99 <br /> ADDRESS: 4943 S. KINGSLEY (FRONTAGE 2209587 <br /> HWY 99 @ ARCH AIRPORT RD WORK ORDER: <br /> STOCKTON, CA 95206 <br /> 1) IN TANK PROBES <br /> MANUFACTURER: TIDEL MODEL NUMBER: EMS3500 <br /> SERIAL NUMBER: NUMBER OF TANKS MONITORED: 3 <br /> SET UP FOR MONTHLY TEST(Y/N): LAST TEST DATE: 1 1 PASSED/FAILED: <br /> DOES THE SYSTEM DISPLAY OR PRINT TYPE (DISPLAY OR PRINT OUT): <br /> OUT MONTHLY TEST RESULTS (Y/N): <br /> OPERATIONAL (Y/N ): YES <br /> COMMENTS: <br /> 210THER PROBES: MANUFACTURER: <br /> TIDEL MODEL: EMS3500 <br /> NUMBER OF LIQUID,FLOAT. SW, POSITIVE SHUT FAIL SAFE(Y/N) OPERATIONAL <br /> PROBE LOCATION PROBES OR VAPOR SENSO DOWN(Y/N) (Y/N) <br /> ANNULAR PROBE 3 LIQUID NO NO YES <br /> TURBINE SUMP 3 FLOAT NO NO YES <br /> FILL SUMP 0 <br /> FIBERTRENCH 0 <br /> MONITORING WELL 0 <br /> DISPENSER PAN 6 FLOAT NO NO YES <br /> OTHER 0 <br /> ANNULAR SPACE FILLED WITH MONITORING FLUID?DRY <br /> COMMENTS: <br /> PAGE 1 OF 2 <br />