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Apr-28 03 03 : 18P Woo ley Oil , Inc . 209 948 07SS P - Ob <br /> MONITORING SYSTEM CERTIFICATION <br /> For Um By ABJWWACOOM Wd"R the Slats ofCdlorRia <br /> Audwrily Cued Ch%We'6-7,H.,zM and S4'ety Cade:tjtapter 16,DPavion 3. YyyJj�e 33.CdiJbrrria Code of RsBrkrt+°'e <br /> of mwni ming <br /> cav <br /> This foam must he ed to docmweaa tesliug and�mg vtosk A voPy of t6iss firm�t be ptovtded to the teak <br /> ■vatem cnnttol ttaml by the techeiciae who pe'f�rms UST sysu as wehin 30 <br /> for ew;bsystem ownedapaator. The owoedopentm tout subad' a copy of mis form to the tical,tgMcy tegtlate� <br /> days of test date. <br /> A. ( mewl Informon Bkt&No.: <br /> Fad ity x.>tt. _ AST Z iJ cit)r�-�p I --- � <br /> siteAdd�= - (L _33_4Z-27 �7 <br /> FaciCRy Ante«Petsan: t 1^ t t E L N c�'1,(J—. Comma Mme No-: C 7 ). - " <br /> ,,.a, /Model of MonittriM System: L o ofTestadg/Scvir�tt&R. bwentory of Egx*wtst T�bedlCatified <br /> CW=kdm - trmwi+a+a Tooker <br /> Mk Mr. O be-Tti kOwgb6Padte- Modet <br /> O ht-Tank CaPa6 R°bc- moack Sa <br /> L_ O A.9w 34aee or V" afor- abdct <br /> ------.-- <br /> O Awa1w SIS a Vwtk'A"" <br /> Mudd: 13 <br /> pq n6 95WIP I Tkoub s vo*4 ModcL <br /> ❑ piping Snap 7 T wh S=w f s} Model: O Fn swe samm(s)- Model_ <br /> O OR Sump se,Bw(s} Modet PG,r' O Mt>Aied Ljw is k Detour- Mudd: <br /> O Mo&="Lim Link Ddeaw- - O M cumic live Lak Deector. Mower <br /> O Ekcuom tae jerk Ddnctnr adotieF O Trtk Owetg/tbgalewd 9mmr- Mudd: <br /> O Tact O.e<tl®1}[4-lewd sc v. Mudet <br /> 21 <br /> 2 -- ❑�a d wodd'si Sectio E as <br /> O Omtr wid®dot i Section E m <br /> 7Lokuk <br /> Tvak ID: Pwab - Model <br /> Elbn Twk t�tR Prokc- Mom_ <br /> �F._ 13Awsdw 9Psc a Vwil Sc s Medd' <br /> ❑AMWW SPWC w Vao Smor- O1�Sy <br /> Moaek_ - w*/TM&Seaswfs} Model=_----- <br /> ❑ poftSlr*ITmaahSuWK3). Model YV 1 rA 13 Fin S=PSUMMK* ModcL <br /> ❑ Flig Sap S®(4 Modek O kie"nibcd Lie Lak Doadac M)dd:_----- <br /> O Me*mwd Lim Lok Ocft l . Mattel t k, O Ekcbmk Lia Lok Daedw- \blit&_---- <br /> O Ekeaga c lite Leak Deftew Model _ O Talk Owcdm I�"tewd sasor. Model- <br /> Oma❑Tmk Oa/W04-ced Soave_ Moi": L ad dd a sccuoa E m 2 <br /> (3 Oma <br /> std stodd fa Scubm Ear LJ- Opo w <br /> ao <br /> mw <br /> ❑ �CLdwiwo SczN*4 Model . <br /> 13t7oatSoava(s} Moan NON Q9ka Vdwwts} <br /> Sbw Vdw(s)- s and Cwtwiwaat ad - s <br /> Caataiaaw� Dkpo w W._— <br /> Dipravwm' - pN '< O Di�vw�eiNWWA S'm90sfs} Moi"-___. <br /> Coetairaeat Smvoe(s} tioael_�" <br /> O Dispmw O Skew Vd.ds} a stl - s <br /> �tiwVdu(s} _ Ooatdemeo <br /> :::I: <br /> @Dbpww � n+E w�sm*4 Model: <br /> ❑ D�peater Ceotammed goaa( Vd**C)oateisaat ad s <br /> t s mrewvy teak aid dispa woe�. <br /> •Fflke ficlty aoaEroa tnae alis ar dnp�se ooyy ma focw. laclydc"Wttartior <br /> C Certificatioa-t arori*M the egdpweat M tl6ed r that ttuea.eat... the wwnuftmb� <br /> ciaekl a br� <br /> 00 <br /> via this i.rw..tsao +a <br /> Albckd to tib Cwtt6 you is khroweew ttaa W4 dp_� d rQwu,I lrve Wa <br /> sad a not!W akawiwtg do d9&of PO)- iK❑aq s Ft -�a17fd4Jw'�klo <br /> attar3rd•espy of as cermt(ciwk i tis�r41- Sigp�ttta <br /> TechoicianName(priat} Bruce Ho�?Lattd <br /> $05705 <br /> Cert&watww No.: 209 724-9420 <br /> Phooc Na. �----- <br /> Testa*Company Name: m h t n d Te r; r, Date of Te savi��/7 AZ <br /> CA <br /> oavnt <br /> Situ Adddesz���—[1_ f;nrdararti-! Avv=_-__A rvnr�__--,--._---s--� _ <br /> 03101 <br /> Page i of 3 <br /> Monitoring System Cetttficatlon <br />