Laserfiche WebLink
MONITOR CERTIFICATION FORM <br /> CUSTOMER: THE SOUTHLAND CORPORATION SITE I.D.: 7-11 DATE: 03/16/98 <br /> ADDRESS: 4943 STATE ROUTE 99 <br /> WORK ORDER: 2203894 <br /> STOCKTON, CA 95206 <br /> 1) IN TANK PROBES <br /> MANUFACTURER: TIDEL MODEL NUMBER: EMS350 <br /> SERIAL NUMBER: EA9305191 NUMBER OF TANKS MONITORED: 3 <br /> SET UP FOR MONTHLY TEST(Y/N): YES LAST TEST DATE: 02/27/98 PASSED/FAILED: PASSED <br /> DOES THE SYSTEM DISPLAY OR PRINT <br /> OUT MONTHLY TEST RESULTS (Y/N): YES TYPE (DISPLAY OR PRINT OUT): PRINT OUT <br /> OPERATIONAL (Y/N): YES <br /> COMMENTS: <br /> LAST TEST PUL 2/28/98 MUL 2/25/98 RUL NO TEST YET <br /> 2) OTHER PROBES: MANUFACTURER: TIDEL MODEL: EMS350 <br /> NUMBER OF LIQUID, FLOAT.SW, POSITIVE SHUT FAIL SAFE(Y/N) OPERATIONAL <br /> PROBE LOCATION PROBES OR VAPOR SENSOF DOWN(Y/N) (Y/N) <br /> ANNULAR PROBE 3 LIQUID NO NO YES <br /> TURBINE SUMP 3 LIQUID NO NO YES <br /> FILL SUMP 0 <br /> FIBERTRENCH 0 <br /> MONITORING WELL 0 <br /> DISPENSER PAN 6 LIQUID NO NO YES <br /> OTHER <br /> ANNULAR SPACE FILLED WITH MONITORING FLUID?DRY <br /> COMMENTS: <br /> PAGE 1 OF 2 <br />