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r <br /> SERVICE STATION MONITORING SYSTEM CERTIFICATION <br /> STATION ADDRESS: 1071 N MAIN <br /> CITY: MANTECA,CA <br /> WIC#: 4728-0502 <br /> Tank Material: [XI Fiberglass [ ] Steel <br /> [ ] Fibersteel <br /> Tank Type: [ ] Single Wall [X] Double Wall <br /> Line Material: [XI Fiberglass [ ) Steel <br /> I ] Flex Line <br /> Line Type: [ ] Single Wall [X] Double Wall [ ] Trench Containment <br /> Waste Oil Tank Type: [ Single Wall [X] Double Wall ( ) Above Ground <br /> Waste Oil Line Type: [X] Single Wall [ ] Double Wall [ ] Direct Fili(No Product Lines) <br /> TANK MONITORING SYSTEM <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> nterstitiaMonitor <br /> 2 [ ] Wet [X ] Dry Annular Yes Yes Yes TLS-350 <br /> 2 Electronic Tank Level Monitor Yes TLS-350 <br /> 0 Vadose Monitor <br /> 0 Fill 1 Vapor Recovery Riser <br /> Comments: <br /> WASTE OIL MONITORING SYSTEM <br /> OTY TYPE OPERATIONAL MANUFACTURER <br /> MODEL NUMBER <br /> Interstitial Monitor <br /> 1 [X] Wet [ ] Dry Annular Yes RONAN X76S <br /> Waste Oil Line Monitor <br /> 0 [ ] Wet [ ] Dry Annular <br /> r1 Fill/Vapor Recovery Riser Yes RONAN X76S <br /> Comments: <br /> LINE MONITORING SYSTEM <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> 2 Mechanical Leak Detector Yes 2-FEPETRO <br /> 0 Electronic Line Pressure Monitor <br /> Electronic Line Pressure Monitor <br /> 0 with Mechanical Leak Detector <br /> 2 Electronic Sump Monitor Yes Yes Yes TLS-350 <br /> 0 Electronic Line Trench Monitor <br /> I certify that the above information is accurate and functioning according to manufacturers specifications. <br /> SIGNATURE: � COMPANY: Tanknology-NDE <br /> PRINT NAME: MICHAEL T LEVESQUE DATE: 01/28/98 <br /> Rev: 1214195 Page 1 of 3 <br />