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MONT*RING SYSTEM CERTIFI&TION <br />For Use By All Jurisdictions Within the State of California <br />Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations <br />This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared <br />for each monitoringwstem control pA*by-the=-tept i t0ja r;W rforms the work. A copy of this form must be provided to the tank <br />stem owner/operator. erator. The owner/o ` <br />y p mafoiA st,_sl}bhuf of this form to the local agency regulating UST systems within 30 <br />s <br />days of test date. <br />A. General Information MAR 2 3 2007 <br />Facility Name: Tracy Truck Stop - ",1„,;. ; <br />