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MONITOR CERTIFICATION FORM <br /> CUSTOMER: TOSCO MARKETING COMPANY SITE I.D.: BP 1-1195/CC#2611195 DATE: 01/08/2001 <br /> ADDRESS: 16500 E LOUISE AVE @ 1-5 <br /> WORK ORDER: 2215063 <br /> LATHROP, CA 95330 ` <br /> 1) IN TANK PROBES <br /> MANUFACTURER: veeder root MODEL NUMBER: TLS350 <br /> SERIAL NUMBER: 0847090-022 NUMBER OF TANKS MONITORED: 2 <br /> SET UP FOR MONTHLY TEST(Y/N): N/A LAST TEST DATE: / / PASSED/FAILED: <br /> DOES THE SYSTEM DISPLAY OR PRINT <br /> OUT MONTHLY TEST RESULTS(Y/N ): N/A TYPE (DISPLAY OR PRINT OUT): <br /> OPERATIONAL (Y/N ): YES <br /> COMMENTS: <br /> ANNULER MODEL#0794380-409 SUMPS MODEL#074380-208 <br /> DISPENSER BROVO BOX WITH CHAINS AND FLOATS <br /> 2) OTHER PROBES: MANUFACTURER: VEEDER ROOT MODEL: TLS 350 <br /> NUMBER OF LIQUID, FLOAT.SW, POSITIVE SHUT FAIL SAFE(Y/N) OPERATIONAL <br /> PROBE LOCATION PROBES OR VAPOR SENSOF DOWN(Y/N) (Y/N) <br /> ANNULAR PROBE 2 FLOAT NO N/A YES <br /> TURBINE SUMP 2 FLOAT YES YES YES <br /> FILL SUMP <br /> FIBERTRENCH <br /> MONITORING WELL <br /> DISPENSER PAN <br /> OTHER <br /> ANNULAR SPACE FILLED WITH MONITORING FLUID?DRY <br /> COMMENTS: <br /> PAGE 1 OF 2 <br />