Laserfiche WebLink
OIL <br />OMPANY-CERTIFICATION <br />; . «,. <br />[3] Interstitial Monitor <br />SHELL <br />E <br />' <br />OF TANK MCiTTTORINvl - S'rSTENid <br />Facility WIC Number: <br />Zo,(- 7! 2zq- 36o7 <br />District F- 64Y <br />Facility Address: <br />2-32-0 N. F LDo RR D o <br />3T. <br />Manufacturer: [ J API Reservoir <br />ST0C,KTD/,1 , CA . <br />[ ) API MOS(VADOSE) [ ] Genelco <br />Purpose of Visit: <br />TlaNk Tes-r, <br />[ ] OC reservoir [ ] Pollualert <br />[ ] Red Jacket <br />Tank Material: <br />[ ] Steel <br />[ -TIE11berglass <br />is g4R�o , a <br />Line Material: <br />[ ] Steel <br />[fiberglass <br />Arriving Status: [Operational <br />j ] Non -operational <br />Product Tanks: <br />(] Single Wall <br />[ J-6uble Wal( <br />Departing Status: [ Operational <br />Product Lines: <br />[ ] Single Wall <br />[ -rDouble Wall <br />Waste Oil Tank: <br />Single Wall <br />Double Wall" <br />ones'"�� <br />PRODUCT TANK MONITORING SYSTEM: <br />CITY TYPE <br />; . «,. <br />[3] Interstitial Monitor <br />[,j'Wet [ ] Dry - <br />E <br />' <br />[ ] Vadose Zone Monitor <br />f <br />( ] Fill/Vapor Recovery Risers <br />[ ] Monitored Visually (Daily Inventory) <br />Manufacturer: [ J API Reservoir <br />[ ] API IR (VADOSE) <br />[ ) API MOS(VADOSE) [ ] Genelco <br />[ ] Leakalert <br />y <br />[ ] OC reservoir [ ] Pollualert <br />[ ] Red Jacket <br />I ] Soil Sentry [ ] Spearhead <br />[3] Other TL.5 - Z6-0 G <br />is g4R�o , a <br />Model: C r( -g,¢/ c -o <br />Arriving Status: [Operational <br />j ] Non -operational <br />Corrective Action: [ ] Performed <br />[ j Required <br />Departing Status: [ Operational <br />[ ] Non -operational <br />REMARKS: <br />PRODUCT UNE MONITORING SYSTEM: <br />QTY TYPE <br />f �11 <br />[ ] Electronic Line Pressure Monitor w/ Mech. Leak Detector <br />[ 3 ] Electronic Line Pressure Monitor w/o Mech. Leak Detector <br />[ ] Interstitial Monitor w/ Mech. Leak Detector <br />[ ] Mechanical Leak Detector Alone <br />Electronic Line Pressure or Interstitial Monitor Manufacturer: <br />[ ] API Pressure [ ].API Sump [ ] API Sump/Line <br />[ ] Leakalert Other R oNq.N <br />Arriving Status: <br />Corrective Action: <br />Departing Status: <br />[--fOperational <br />[ ] Performed <br />[ ] Operational <br />[ ] Non -operational <br />[ ] Required <br />[ J Non -operational <br />Continued on Reverse <br />