Laserfiche WebLink
SERVICE STATION MONITORING SYSTEM CERTIFICATION <br /> STATION ADDRESS: 2448 W.KETTLEMAN LANE <br /> CITY: LODI, CA <br /> WIC#: 696 <br /> Tank Material: 1X1 Fiberglass [ 1 Steel I 1 Fibersteel <br /> Tank Type: [ ] Single Wall [X1 Double Wall <br /> Line Material: 1X1 Fiberglass [ 1 Steel [ ] Flex Line <br /> Line Type: [ 1 Single Wall [X1 Double Wall [ ] Trench Containment <br /> Waste Oil Tank Type: [ 1 Single Wall [ 1 Double Wall [ 1 Above Ground <br /> Waste Oil Line Type: [ 1 Single Wall [ 1 Double Wall [ 1 Direct Fill (No Product Lines) <br /> TANKVIONITORING;SXSTEM.. <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> Interstitial Monitor <br /> 1 [ ] Wet [XI DryAnnular No No Yes GILBARCO EMC <br /> Electronic Tank Level Monitor <br /> Vadose Monitor <br /> Fill/Vapor Recovery Riser <br /> Comments: SUPER ANNULER TEST ONLY <br /> ............... ... ... VU�lSTE Q1E.NIL31t .N.G SXS7 EM <br /> QTY TYPE OPERATIONAL MANUFACTURER <br /> MODELNUMBER <br /> Interstitial Monitor <br /> [ ] Wet [ ] Dry Annular <br /> Waste Oil Line Monitor <br /> [ ] Wet [ ] Dry Annular <br /> Fill/Vapor Recovery Riser <br /> Comments: <br /> .............._. __ _ ........ . .. ...... ......... ........... ...........,.... .... .. ...,........ <br /> _. _..._..... _.._ ..... _ __.._ <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> Mechanical Leak Detector <br /> Electronic Line Pressure Monitor <br /> Electronic Line Pressure Monitor <br /> with Mechanical Leak Detector <br /> Electronic Sump Monitor <br /> Electronic Line Trench Monitor <br /> = -=ertify that the above information is accurate and functioning according to manufacturers specific <br /> 7IGNATURE: COMPANY: NDE Environmental Corp. <br /> PRINT NAME: DAVID MATHIE DATE: 10/06/2000 <br /> ev: 12/4/95 Page 1 of 1 <br />