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Y F SHELL OILOtPANY-CERTIFICATION OF TANK MOry'I'i-Oi HNC JYof tiy�v <br />Facility WIC Number: District: <br />Facility Address: CIJCa <br />Purpose of Visit: <br />Tank Material: <br />Line Material: <br />Product Tanks: <br />Product Lines: <br />Waste Oil Tank: <br />�STo C_t,-ra r,-( CA- <br />lA,.c G.i�re a>vn L, Com, i rrs rAie- <br />[ xj Steel <br />[KI Steel <br />[] Single Wall <br />] Single Wall <br />[ ] Single Wall <br />PRODUCT TANK MONITORING SYSTEM: <br />QTY TYPE <br />( ] Interstitial Monitor [ ] Wet <br />[ ] Vadose Zone Monitor <br />[ j Fill/Vapor Recovery Risers <br />[ Monitored Visually (Daily Inventory) <br />Manufacturer: <br />[ ] API MOS(VADOSE) <br />[ ] OC reservoir <br />[ ] Soil Sentry <br />Model: <br />[ J API Reservoir <br />[ ] Genelco <br />( ] Pollualert <br />[ J Spearhead <br />Arriving Status: <br />(J Operational <br />Corrective Action: <br />[ ] Performed <br />Departing Status: <br />[ J Operational <br />REMARKS: <br />PRODUCT UNE MONITORING SYSTEM: <br />[ ] Fiberglass <br />[ ] Fiberglass <br />(j Double Wall <br />[ J Double Wall <br />[X] Double Wall <br />[ ] Dry <br />( ] API IR (VADOSE) <br />[ ] Leakalert <br />[ ] Red Jacket <br />[ ] Other <br />( ] Non -operational <br />[ ] Required <br />[ ] Non -operational <br />QTY TYPE <br />[ ] Electronic Line Pressure Monitor w/ Mech. Leak Detector <br />[ ] Electronic Line Pressure Monitor w/o Mech. Leak Detector <br />[ J Interstitial Monitor w/ Mech. Leak Detector <br />[ }(� Mechanical Leak Detector Alone <br />Electronic Line Pressure or Interstitial Monitor Manufacturer: <br />[ ] API Pressure [ ] API Sump [ ] API Sump/Line <br />[ ] Leakalert [ ] Other <br />Model: Q, -, <br />Arriving Status: <br />Corrective Action: <br />Departing Status: <br />[ ] Operational <br />[ ] Performed <br />[ ] Operational <br />[ ] Non -operational <br />[ ] Required <br />[ ] Non -operational <br />[ ] None <br />Continued on Reverse <br />