COMPLIANCE INFO_1986-2000 - Laserfiche WebLink

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Tank ID # Type of Tank: (Single Wall or Double Wall) UST or AST Tank Material (Composit, Fiberglass, etc.) Contents of Tank: Capacity of Tank: Type of Product Line: (Gravity, Suction, Pressure) Type of Piping: (Single Wall or Double Wall) ALL SYSTEMS I Tank 1 Annular Space Sensor: YES PASS Fill Sump Sensor: Piping Sump Sensor: YES PASS Piping Trench Sensor: Dispenser Containment Sensor: Other Types (Sensors): Type of Overfill Protection (mechanical, electronic, ball float) Type of Spill Containment (Make & Model) FOR PRESSURE TYPE SYSTEMS ONLY Tank 3 1 Tank 4 1 Sensor Type FLOAT FLOAT Compartmented Tank(s) etc. Tank 1 Tank 2 Tank 3 Tank 4 Is Mechanical Line Leak Detector Present & Tested?: Does the Turbine Shut -Down if System Detects a Leak?: Does Positive Shut Down Occur if Monitor System is turned off?: ALL SYSTEMS In -Tank Gauge Present. Probe Type and Type of Leak Detection (Ex. .2 gph). Does the Monitoring System have Audible &Visual Alarms? Is the Monitoring System installed to prevent unauthorized tampering?: Is the Monitoring Devices operable as per manufacture's specifications? YES CAP.2 YES YES YES Testing Company: TAIT ENVIRONMENTAL SYSTEMS Date: 08-01-00 Technician: BRANDON HAM (Pri Name) Certified Tester's ID #: 39-3435 (Signature) n U Environmental Management P.O. Box 5095 Pacific Region Room 3E000 San Ramon, CA 94583 UST $ AST MONITOR CERTIFICATION FOR Testing Date: 08-01-00 Next Due Date: 08-01-01 Site Location: PACIFIC BELL Tank ID(s): 794 1812 COLEY AVENUE CLLC Code: ESCLCA11 ESCALON Geo Parcel: UG -010 County: SAN JOAQUIN Site Contact BRIAN BOOKMAN Site Contact Phone #: 209-472-3138 Make & Model of Monitor System(s): VEEDER ROOT TLS -2501 Serial # of Monitor System(s): 16144 Tank ID # Type of Tank: (Single Wall or Double Wall) UST or AST Tank Material (Composit, Fiberglass, etc.) Contents of Tank: Capacity of Tank: Type of Product Line: (Gravity, Suction, Pressure) Type of Piping: (Single Wall or Double Wall) ALL SYSTEMS I Tank 1 Annular Space Sensor: YES PASS Fill Sump Sensor: Piping Sump Sensor: YES PASS Piping Trench Sensor: Dispenser Containment Sensor: Other Types (Sensors): Type of Overfill Protection (mechanical, electronic, ball float) Type of Spill Containment (Make & Model) FOR PRESSURE TYPE SYSTEMS ONLY Tank 3 1 Tank 4 1 Sensor Type FLOAT FLOAT Compartmented Tank(s) etc. Tank 1 Tank 2 Tank 3 Tank 4 Is Mechanical Line Leak Detector Present & Tested?: Does the Turbine Shut -Down if System Detects a Leak?: Does Positive Shut Down Occur if Monitor System is turned off?: ALL SYSTEMS In -Tank Gauge Present. Probe Type and Type of Leak Detection (Ex. .2 gph). Does the Monitoring System have Audible &Visual Alarms? Is the Monitoring System installed to prevent unauthorized tampering?: Is the Monitoring Devices operable as per manufacture's specifications? YES CAP.2 YES YES YES Testing Company: TAIT ENVIRONMENTAL SYSTEMS Date: 08-01-00 Technician: BRANDON HAM (Pri Name) Certified Tester's ID #: 39-3435 (Signature)