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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br /> STATION ADDRESS: 165 I-5 <br /> CITY: LATHROP, CA <br /> C : BP 1-1195 <br /> Tank Material: [ X] Fiberglass [ ] Steel [ ] Fibersteel <br /> Tank Type: [ X] Single Wall [ ] Double Wall <br /> Line Material: [ X] Fiberglass [ J Steel [ ] Flex Line <br /> Line Type: [ X] Single Wall [ ] Double Wall [ ] Trench Containment <br /> Waste Oil Tank Type: [ X] Single Wall [ ] Double Wall [ ] Above Ground <br /> T MO!"MRING SYSTEM CERTIFIED: r X I OPERATIONALNON-OPERATIONAL <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> Interstitial Monitor <br /> 0 Wet Annular N/A <br /> 3 Electronic Tank Level Monitor Yes VEEDERROOT TLS250 <br /> 0 Vadose Monitor N/A <br /> 0 Fill/Vapor Recovery Riser N/A <br /> Comments: <br /> WASTE OIL' MONITORING SYSTEM-CERTIFIED: I OPERATIONAL NON-OPERATIONAL <br /> QTY TYPE OPERATIONAL MANUFACTURER <br /> MODEL NUMBER <br /> Interstitial Monitor <br /> 0 Wet Annular N/A <br /> 0 Fill/Vapor Recovery Riser N/A <br /> Continents: <br /> UNE MONITORING SYSTEM_ CERTIFIED:_ X1OPE TIONAL NON-OPERATIONAL <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> 3 Mechanical Leak Detector Yes VAPORLESS RED JACKET <br /> 0 Electronic Line Pressure Monitor N/A <br /> Electronic Line Pressure Monitor <br /> with Mechanical Leak Detector N/A <br /> 0 Electronic Tank Sump Monitor N/A <br /> 0 Electronic Line Trench Monitor N/A <br /> I certify that the above information is accurate and functioning according to manufacturers specifications. <br /> SIGNATURE: COMPANY NDE EnvironmentalCorp. <br /> .W <br /> PRiNTNAME: DATE: 5/95 <br /> Rev:1/31/95 Page 1 of 3 <br />