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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br /> STATION ADDRESS: 2448 W.KETTLEMAN LANE <br /> CITY: LODI, CA <br /> WIC#: 696 <br /> Tank Material: [X] Fiberglass [ ] Steel [ ] Fibersteel <br /> Tank Type: [ ] Single Wall [X] Double Wall <br /> Line Material: [X] Fiberglass [ ] Steel [ 1 Flex Line <br /> Line Type: [ ] Single Wall [X] Double Wall [ ] Trench Containment <br /> Waste Oil Tank Type: [ ] Single Wall [ ] Double Wall [ ] Above Ground <br /> Waste oil Line Type: [ ] Single Wall [ ] Double Wall [ ] Direct Fill (No Product Lines) <br /> :TANK MQNITORING(SYSTEM <br /> . ..... . ................ ... <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> Interstitial Monitor <br /> 3 [ ] Wet [XI DryAnnular No Yes Yes EMC <br /> 3 Electronic Tank Level Monitor Yes EMC <br /> 0 Vadose Monitor <br /> 0 Fill/Vapor Recovery Riser <br /> Comments: <br /> ...... ....... .. . <br /> ........ _....... .... <br /> _.._ _ . _.............._ <br /> WASTE OIL MONITORING SYSTEM <br /> QTY TYPE OPERATIONAL MANUFACTURER <br /> MODEL NUMBER <br /> Interstitial Monitor <br /> 0 [ ] Wet [ ] Dry Annular <br /> Waste Oil Line Monitor <br /> 0 [ ] Wet [ ] Dry Annular <br /> 0 Fill/Vapor Recovery Riser <br /> Comments: <br /> ................. ............... _ <br /> .............. .............._..._.... ..,. <br /> L�11«a�IINdfiING SYSTEM: <br /> .... ......... ... .... <br /> QTY TYPE POSITIVE I FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> 3 Mechanical Leak Detector Yes XLP <br /> 0 Electronic Line Pressure Monitor <br /> Electronic Line Pressure Monitor <br /> 0 with Mechanical Leak Detector <br /> 3 Electronic Sump Monitor Yes Yes Yes EMC <br /> 0 Electronic Line Trench Monitor <br /> I certify that the above information is accurate and functioning according to manufacturers specific <br /> SIGNATURE: COMPANY: NDE Environmental Corp. <br /> PRINT NAME: JEFF CONGER DATE: 09/30/98 <br /> Rev: 12/4/95 Page 1 of 1 <br />