Laserfiche WebLink
POB 36 26515 N. SACTO. BL. <br />To <br />THORNTON, CA. 95686 ntInUOUS Monitoring; <br />(209)794-0102 (800)524-9087 1 Device Certification_ <br />TEST DATE h A, <br />SITE: <br />OPERATOR �-I Ami iy) F rll M40-7 StAlionl/ <br />OWNER Pf -Tk, RA FF) QtJPt <br />SITE ADDRESS 13 o I KCTTI-Sq f -A&) t-" • <br />ADDRESS <br />,fie D . --A l'sa �/v <br />Capacity of Tank <br />PRONE (.209) 33`/ - 32 <br />PnONE <br />/.�AX(0 &776 <br />MAKE AND MODEL OF MONITORING SYSTEM G/ .1 <br />T ..... 9 T .u A <br />Contents of Tank <br />L <br />P I E <br />Capacity of Tank <br />a0),0 <br />/p0eq <br />/40N <br />Dispenser Containment Sensor <br />Type of Product Line: (Gravity, Suction, Pressure). <br />P2E55 <br />Pees <br />Po- <br />Electronic Overfill / Level S� o <br />_ w Vrc nn Aln Iwr A 00 v+AOI C unY- <br />11'IYIGA/C LVVMIIVf� <br />VF- <br />Annular <br />rAnnular Space Sensor 7"r ' Ua lv ssy,JQ F 1001- <br />yreh <br />YC -S <br />�'�-� <br />Sump Sensor <br />Y t"`:> <br />yr-.> <br />L-5 <br />v F5 <br />Dispenser Containment Sensor <br />/Uo <br />NO <br />/vO <br />YC -S <br />Electronic Overfill / Level S� o <br />i�`l37 <br />0j6 -5z <br />17 60 2 - <br />yf-e, <br />Electronic In -Line Leak Detector <br />/dn <br />No <br />No <br />Mechanical Line Leak Detector <br />yes <br />YES <br />YC5 <br />In Tank Gauging Device a 1 <br />3 <br />yE5 <br />a o7IoG/ <br />`/f5 <br />a <br />YF5 <br />lunrnerr rue enm r AIAAu@ OV OI AI%INf2 A VCC no Nn IN APPI If_Attl F RnY' <br />Does the monitoring system have audible and visual alarms? <br />yreh <br />YC -S <br />Does the turbine automatically shut -down if the system detects <br />a leak, fails to operate or is electronically disconnected? <br />Y �5 <br />Y*S <br />y 6_5 <br />Is the monitoring system installed to prevent unauthorized tampering? <br />y Ems, <br />K <br />YC -S <br />Is the monitoring system operable as per the manufacturer's specifications? <br />66 <br />yf-e, <br />Which continuous monitoring devices initiate'positive shut -down of the turbine? ImoM P <br />CERTIFIED TESTER'S ID# <br />,1-1)2- <br />I <br />L-i,z <br />I SIGNATURE OF CERTIFIED TECHNICIAN I I <br />I PRINTED NAME OF CERTIFIED TECHNICIAN I I <br />