|
AUG-26-2002 10 :25 AM GETTLER-RYAN INC . 925 551 4770 P. 02
<br /> MONITORING9 SYSTEM C.•H;R"I.11'•IC,.rATION
<br /> Fen.(•',,l'By..111,1111-odi(Iii' l 11-ilhill ih-.shut'I'J(-bill+-11i4r
<br /> lnih,erltt Circa/; C'hcrlrr-r t,. �, Urrrlrlr(III(/Silt, r.'rnJr, ('Jrrrl►fc r Jrt, 1)iretireu fill-'3, 1 't1. il"olia('ode nl•Rt'•i;frGr/i„tl.c
<br /> Ilii:term nnlat he us�tl Ilkdt►cuuu'u! lesling ;atttl .cnirin): ld nnarin,ring utluipntunl. \ •`Ltiiit;;Il�.��I�kliati 111, r��►crrt,�t)yS.h•U?1'�L�uy�.IUr each
<br /> Ilp,tiitt�rjn �1�Jb73�.�1?tlklt?I..lj ttltd by 111,;(cchni4i,ul k%Ill,perli+rnt,tllc��ork. A c++p� '•1 thi, I,+ In 11111.1 he pr-1%ided to rhe lank :y<I All OWIld"vi k:rarur
<br /> ' bum%wr opurulnr 111Gs1 tiuhttlit ll¢„by tll (llk R,l'III hl the local N111 1111'rCL;d;llirltt I l l •4'tlls%%1111111 ?0 dil 's ol'tcst daly.
<br /> A. General Information
<br /> Facility Name; Arco Am/Pm#6020 13ldg.
<br /> Site Address: 1711 Yosemite C'it}: Manteca. _ Zip: ..._- ... .-•---...._..._
<br /> Facility Contact l'emin: ('ttnlata I'hun, N,
<br /> Mtake'1llodel of Monitoring Sy;wtn: Veeder Root YLS360 I)ate('1' :31612008
<br /> B. Inventory of Equipment Tested/Cbrtified
<br /> ('heck rhe It 1.o r10te tintcs In indicate w)eelnC N ill
<br /> '.w.� L..,.......a�.�.rr•--•.I..,.,.:--
<br /> Tank ID: 91 O_ct __ Tank ID: _$7 Oct
<br /> El In-T4nk Uoupialt Pnshe. — \1rKICl: 794380.120 - --- Cj Ill.ianb l+,w.illy INn+he, �I,+d T94380.�'•'� 0 ��,-
<br /> Cj r\nnularCpaeaul'Villlll50*11'. M+,tkl: 794380•409 - [� \anal:u spa,,:•+r \;+alt Selma MOLICI: 7114380,404
<br /> E]Piping iump Trvii0i Scnstnls). Mmid• 794_38_0__32_3_-- �) Pilnn<!lump ;-cath tirn�,tt.l model: 794380.323
<br /> []Fill Sump SA awns). Wild: 794380.323 __-__---_ El I ell 1111111 lcnvni.I. Model! 794380.323
<br /> f�Mithunkal Line Loak L INVIor, Mildel []\Iwhuni,al 1 rat I ;tk I)ettt:h+r. Rlndel: ��^�_-_ T -
<br /> ❑Fliv:lrnnic Line Leak MLLCaor. Mmlcl: _- .�— - U HokIr•nnc I Ill..,Loll,f1omlol Mt+tld.
<br /> (, Iank tJvetlill I liRh-L,c�CI SCnsus. vludeL _� —u [] I111 tlt,•I!ilk _.-
<br /> �]Other I:I+eCity equipn,ant type lend lilt Idol in y,ecliml F un hkgt: ', �]0010I�pw ily ogllipm:nt type.r Id made!in 5ecliun F.I>11 Pa}a 21
<br /> �.g®'�.:J'�nww�n.afl.wio'MYR":�wr—..—...._^_-•:••-•—•.•I•::'' •••:a1..--�wr__.,�'�.r.�yiF:?—•1"#106 MIM•lli�.RM!-N.•�f'VY iXMG\f.•:91,P..�.��'MNGlIX11/GTI..
<br /> Tank ID: 89 Oct 'funk II):
<br /> [Q InTank
<br /> - Ci,ul}illg Prldu. ..� Nlodd 194380.120_^ - __ - C�In•I:,nk t I,u,�ul Prl,tw• �Fndel: -_.__..�.....-. .------.-..
<br /> [],lnnulurSpace at-Vault Senwn'. btadcl: 794380.409----� \ultului 1puea14 V-101 tit• SO%
<br /> I'Iping Sump t reneh Semaltsl. \tlulcl: 794_380.323 --- _ ^-_---
<br /> i '
<br /> (,]Fill Suntp SeI1SOK-0. \lade!: 794380.323 __-
<br /> ❑Mtvlhtllia;d Line l.Cak ❑elel llf. \1ade1: \leeituni:;lI t:Ilk-I euk iklectur. Madel:
<br /> ]Elatltrnia Lille Lcul,Del her. Mod.'I: ! le,�,,,��;f Inc Le.Ik IT•teCt,+r Model: �_.--�
<br /> CITwilk(hedill Iligh-Levelsettsm M,alrl: _-- U I.utl.thnlill Illt•h•1,velStar. +r. \luticl: ��—
<br /> !. t1111erhhtelly Cquiprrnnt type and nn+del al lla•liun I'I•n f',1.,•;'I �.�tlthct:�}, ,ilk ;tlugrinenl 1%)V rnrl 111,01.1 in Ii l"m Ii,I; p I'a►►'e:t.
<br /> i.Ts•.:..��.,..�.wwrwl�rxu�nione+_:•�•._...�.....,•�'I•,.-..._.::..•::- .._..,_ o...._. :--�•.. ......:....I,r••:-:.-.a_-.-•,...:.��.L.-;_�xr_.:ewe.,re.w,:xal:rxst'xwr.,,elv,.rrser�:
<br /> ilispcnser 10 112 .` W - h I>irpenxr II): _3/4
<br /> (] girptn.crtbnl:tu•ulcnt7943_80.323----_- -- I` t::j Iti•.pil!„•!t •I'lr,unutvnl tia,l.11+I1I Mild& 794380.323 _,-
<br /> �]Slim ValeLI-0. 11!.•11-•\,u•,,.,I -----
<br /> �]DicpCllso-Umitainnunt rloall+l and Ch-lintC3 I kim1wi I 'InWill+nenl l•loatul mxf Chaiwo.
<br /> -------- . . ..—.�::--..._..,..:,'...•�-:vc�rr•,.c ww.�••s,..+K,»,ou_.aiwrrualr'Iv,il•..M.,....w�caus-:l
<br /> Dinpenlrr,'r ID! 5/8 !)ivpenser II):_718
<br /> l� l)hpcnaerCinnlenlSCrtrult.a. Modal 794380.323. ----••— 12, Ili,prm,It'.,ut.tinmauttien.,+l,). MudCh 794380.323_
<br /> onla
<br /> Show•\htk,elxl. C lhemu \,II ,t••I. -- _._
<br /> [)i.�rn•ri t',a,l.tiumerp 1 k:w,) Ci )
<br /> .Ina! han(s .
<br /> I �[)Isl„•R.er(>nit:umnenl I•luatlsl,utdC'huntl�). �- I _ ,,,,,,,,,,r•,�11.r:.-,,,,,,,,,,,,,,,,,,,�
<br /> i n •-•rn.m.oe.,,...�:�.:... .......... •-- -z •• -... .-_ __ . -.rrit.r7►•�ILrK®re-.r,•.n.-
<br /> Dispenser ID: 9110 J I)irlpc'n,cer Ilk 11112 ._.
<br /> Motk•t: 794380.323 i 'J 1)1.'., n•, t la tatnnunt ti,n.ra�•i 'vi,ulct: '194380.'129
<br /> [IL)ispen.er('•ariutmrmnlSCnWg1.I --_ I ----
<br /> !hear\,rht,vl $ U �haut 1 d,,,.•
<br /> � l)L•pPatal'('•+Illallnl11alll FlUllll�l alttl C'lIUi11I,1, 1 ;.l)I•Ih1,•,71 ,,urnilllllelll l'lt•lltr:r:lrtd C-hililli-0
<br /> -• �_ i. :•-r .rJYii Tera•.w•.n/•C.�YI"�xwr-�e-�11^+�
<br /> '7t tile Braili%\ contains more wrikti ur di,ltenScr..:cy,y Illi.Itnnl. IlIdIld,:inlul:u;tlir 111 Ilq t-cry Iattk lord tl.purl•ur A the IilCrlity.
<br /> C. C•ertifieation - I cerrif} that the equlpnrerrt ItIenlifietl in this document%tat.iuspettetUsertic d In necnrrhurce+►itll the manufacturers'
<br /> .uidelinen. :\ttache(I to This Certification Is inforntnlion It.g. mltnufncrinCrr' ChcCkllv(s) nct'rrnry to verify that this Information i,1.
<br /> correvt;acrd a 1'101 Plan 9hu%t'11tt;tiro layout of ntnnllorinl;cquipmeel• hilt arty t4lidpmc1lt Crrpn le or generaNlru fillet, repurls,I have alsn
<br /> »ntrched a cop)•of flit report:h•hca•6 e1./!rhat a/+p/1�1: Si,slent cel-til) 11:11'-11 Iflillory report
<br /> I vdi urian N;intc(print); Mike Pratt Klp:n.Iuu.'
<br /> Ccrtilli.-wirtn No.: A29265 _. I It cn•,. 5252315-UI
<br /> _.. .....
<br /> 11:111-:L',•mp;my Name: GettlehRyan Inc_ I'Il,mr ti„
<br /> l 1'.111-_ (', utpan.Y.\tldrr s: 6747 Slerra Ct., Dublin Cd E)are r i I c;lint �+rt is 11111: 816/2008
<br /> l':lttc 1 t►I' 3
<br /> lit'\ t'IiK)
<br />
|