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I <br /> TANK EQUIPMENT SURVEY FORM <br /> SSS: 276 EUGR/ANALYST: F . LONG <br /> ADDRESS: 440 W . CHARTER WAY OFFICE: <br /> CITY/STATE: STOCKTON . CA =F.LEPHONE: <br /> COUNTY: MERCED SUPERVISOR: <br /> TANK INFO$I-tATTON- <br /> TANK 1 TANK 2 TANK 3 TANK TANK 5 <br /> SIZE: 12000 10000 _ OI. 000 1000 <br /> PRODUCT: UNL UNL+ SUP DIS_ <br /> STEEL/FIBERGLASS: F/G _1r— FIG FIG <br /> SINGLE/DOUBL`WALL: SINGLE SINGLE STN , F SINGLE <br /> INSTALLATION DATE: UNK LINK IINK LINK <br /> TANK TEST DATE: UNK IINK IINK UNK <br /> LINE TEST DATE: UNK UNK IINK IINK <br /> TANKS SIPHONED: NIA — NN/A DI_/Q N/A <br /> PROMQ1 LTH_INFORMATION- <br /> LINE <br /> INFORMATION-LINE STRUCTURE: SST FI STEEL/IBERGLASS <br /> SINCLE_ SINGLE/DOUBLEWALL <br /> SECONDARY CONTAINMENT: N/A FIBERTRENCH, LINER, or OTHER <br /> QTHARNgo a TON- /� <br /> SUB-MERSIBLE PUMP MANUFACTURER : TnKH TM _ 14 H-P- <br /> LEAK DETECTOR MANUFACTURER : RED JACKET <br /> TANK LEAK DETECTION MANUFACTURER: QPM-9000 <br /> LINE LEAK DETECTION MANUFACTURER: PMS-800 <br /> OVERFILL PROTECTION: YES YES or NO <br /> IF BALL FLOAT N/A 90X(16") or 95X(6") <br /> SPILL CONTAINMENT BOX : YES YES or NO <br /> SIZE : 5 (5) or (15) GALLONS <br /> AUTOMATIC TANK GAUGING: YES YES or NO <br /> TYPE RED JACKET VEEDEROOT, ETC- - - - <br /> PPM-9000 <br /> VAPOR RECOVERY: STAGE I COAX COAX, DUAL POINT or - <br /> SINGLE PICK UP PER TANK <br /> STAGE II: YES YES or NO <br /> MONITORING WELLS-- <br /> MONITORING <br /> E L-MONITORING WELLS: YES YES or NO 10 NO. OF WELLS <br /> G/W VADOSE or GROUNDWATER <br /> PROBES IN WELLS NO YES or NO <br /> TYPE OF PROBES <br /> WELLS LOCKED AND COLOR CODED: YES YES or NO <br /> ATTACH ALL TANK TEST RESULTS, TANK RELATED PERMITS AND START <br /> UP VERIFICATION FORMS FROM MONITORING SYSTRIS- <br /> w <br /> Environmenta <br /> Awareness <br />