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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br /> STATION ADDRESS: 401 W.KETTLEMAN LANE <br /> CITY : LODI, CA <br /> WIC#: 513 <br /> Tank Material: [ ] Fiberglass [ X] Steel [ ] Fibersteel <br /> Tank Type: [ X] Single Wall [ ] Double Wall <br /> Line Material: [ X] Fiberglass [ ] Steel [ ] Flex Line <br /> Line Type: [ X] Single Wall [ ] Double Wall [ ] Trench Containment <br /> Waste Oil Tank Type: [ ] Single Wall [ ) Double Wall [ ] Above Ground <br /> Waste Oil Line Type: [ ] Single Wall [ J Double Wall [ ] Direct Fill(No Product LInes) <br /> ;,•• .... .... ,. , ,,,,,,. ..�, ., ,,.,..,, T:` ' :'OBIT ;SYTEi , <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> Interstitial Monitor <br /> 0 [ 1 Wet [ ] Dry Annular NA <br /> 0 Electronic Tank Level Monitor NA <br /> 0 Vadose Monitor NA <br /> 0 Fill/Vapor Recovery Riser NA <br /> Comments: <br /> QTY TYPE OPERATIONAL MANUFACTURER <br /> MODEL NUMBER <br /> Interstitial Monitor <br /> Wet My Annular <br /> Waste Oil Line Monitor <br /> [ ] Wet [ I Dry Annular <br /> Fill/Vapor Recovery Riser <br /> Comments: <br /> SE <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> 3 Mechanical Leak Detector Yes RED JACKET <br /> 0 Electronic Line Pressure Monitor NA <br /> Electronic Line Pressure Monitor <br /> 0 with Mechanical Leak Detector NA <br /> 0 Electronic Tank Sump Monitor NA — <br /> 0 Electronic Line Trench Monitor NA <br /> I certify that the above information is accurate and functioning according to manufacturers specifications. <br /> SIGNATURE: COMPANY: NDE Environmental Corp. <br /> PRINT NAME: DAVID MATHIE DATE: 04/10/96 <br /> Rev:12/4/95 Page 1 of 1 <br />