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4 1F STATION.ti' I N ELDORADO STOCKTON, 7524-3604 Tank Material: [ X ] Fiberglass [ ] Steel [ ] Fibersteel Tank Type: [ ] Single Wall [ X ] Double Wall Yes X No Line Material: [ X ] Fiberglass [ ] Steel [ ] Flex Line Line Type: [ ] Single Wall [ X ] Double Wall [ ] Trench Containment Waste Oil Tank Type: [ ] Single Wall [ ] Double Wall [ ] Above Ground TANK MONITORING SYSTEM = CERTIFIED: OPERATIONAL ' i 1 NON -OPERATIONAL:. QTY TYPE POSITIVE * SHUT DOWN FAIL * SAFE OPERATIONAL MANUFACTURER MODEL NUMBER 3 Interstitial Monitor [Xl Wet Annular Yes X No Yes X No X Yes No RONAN X76LVC 3 Electronic Tank Level Monitor OPERATIONAL X Yes No GILBARCO Vadose Monitor Yes No Yes No Yes No Fill / Vapor Recovery Rises Yes No Yes No Yes No Mechanical Leak Detector All Monitor Visually All Underground Product Tanks Are Monitored Using Inventory Reconciliation. • Positive Shut Down and Fail Safe are NOT required under Title 23, Division 3, Chapter 16 of the California Code of Regulations. r #i; t� ►ii€ a`� Y f Y 1 ";: m a•r # I- kmn QTY TYPE OPERATIONAL MANUFACTURER MODEL NUMBER Interstitial Monitor Wet Annular Yes No Fill / Vapor Recovery Riser Yes No TYPE Monitoring Visually Inventory Reconciliation: Yes No LINE Mi3NITC?RIG SY5 - CERTIFIED:: OP TI4NAL NON OPERATIONAL QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER SHUT DOWN SAFE MODEL NUMBER Mechanical Leak Detector Yes No 3 Electronic Line Pressure Monitor X Yes No Yes X No X Yes No RONAN X76LVC Electronic Line Pressure Monitor with Mechanical Leak Detector Yes No Yes No Yes No 3 Electronic Tank Sump Monitor X Yes No Yes X No X Yes No RONAN X76LVC Electronic Line Trench Monitor Yes No Yes No Yes No I CERTIFY THAT THE ABOVE CERTIFICATION INFORMATION IS ACCURATE AND TRUE. SIGNATURE: COMPANY: NDE EIIV1rommeIItaI PRINTNAME: MARK SHAW DATE: 01%30/95 Rev: 12/31/94 Page i of 3 L`