Laserfiche WebLink
SERVICE STATION MONITORING SYSTEM CERTIFICATION <br />STATION ADDRESS: 3725 TRACY BLVD <br />TTY . TRACY, CA <br />WIC# : 7884-0901 <br />Tank Material: <br />IXI Fiberglass <br />[ 1 Steel <br />FAIL <br />SAFE <br />I ) Fibersteel <br />Tank Type: <br />I I Single Wall <br />[XI Double <br />Wall <br />Yes <br />Line Material: <br />[X) Fiberglass <br />[ I Steel <br />Electronic Tank Level Monitor <br />[ I Flex Line <br />Line Type: <br />[ I Single Wall <br />[XI Double <br />Wall <br />[ I Trench Containment <br />Waste Oil Tank Type: <br />[ I Single Wall <br />[ I Double <br />Wall <br />[ ) Above Ground <br />Waste Oil Line Type: <br />[ I Single Wall <br />[ I Double <br />Wall <br />[ ) Direct Fill (No Product Lines) <br />Electronic Line Trench Monitor <br />TANK Mt hly OC ING SYS- M <br />QTY <br />TYPE <br />POSITIVE <br />SHUT DOWN <br />FAIL <br />SAFE <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />4 <br />Interstitial Monitor <br />[ X ] Wet [ ) Dry Annular <br />No <br />Yes <br />Yes <br />X76LVC <br />4 <br />Electronic Tank Level Monitor <br />Yes <br />Yes <br />TM2 <br />0 <br />Vadose Monitor <br />0 <br />Fill / Vapor Recovery Riser <br />No <br />Yes <br />Yes <br />X76LVC <br />Comments: <br />1ltldfi I f+ (]it IIA[1NI1tciKtlNG 5Y5 i(EMi ..... . <br />QTY <br />TYPE <br />.............. .,.:., :. .:::,.:., <br />OPERATIONAL <br />_ .......... .............. <br />MANUFACTURER <br />MODEL NUMBER <br />0 <br />Interstitial Monitor <br />[ ) Wet [ ) Dry Annular <br />0 <br />Mechanical Leak Detector <br />0 <br />Waste Oil Line Monitor <br />[ I Wet [ I Dry Annular <br />4 <br />0 <br />Fill / Vapor Recovery Riser <br />Yes <br />Yes <br />Comments: <br />LINA M(]NT©)t21NG i"itS`CMII <br />QTY <br />::.....::.:.... <br />TYPE <br />POSITIVE <br />SHUT DOWN <br />FAIL <br />SAFE <br />.................... ....... . <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />0 <br />Mechanical Leak Detector <br />4 <br />Electronic Line Pressure Monitor <br />Yes <br />Yes <br />Yes <br />X76LVC <br />0 <br />Electronic Line Pressure Monitor <br />with Mechanical Leak Detector <br />4 <br />Electronic Sump Monitor <br />No <br />Yes <br />Yes <br />X76LVC <br />0 <br />Electronic Line Trench Monitor <br />I certify that the above information is accurate and functioning according to manufacturers specifi, <br />SIGNATURE: COMPANY: Tanknology-NDE <br />PRINT NAME: JEFFREY DIRK CONGER DATE: 03/29/97 <br />Rev: 12/4/95 Page 1 of 3 <br />