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MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of Calyarnia t .authority Cited. Chapter 6.7 Health and Safety Code,Chapter 16, Division 3, Title 23, California Code of Reg2dations inwatmmmumbe amd tfio and & illolgil by tilt! A cosy afthb tam noM be Prawkied by the systane TWJ o A. OMNI h*bnvu*%n Facility Name: AT&T Corp. GEO PAR# CAK482 CLLC Code: LODICA02 Site Address: 110 W.Turner Road City: Lodi Zip: 95240 Facility Contact Person: Connie Mitchell Contact Phone No.: 20.474-4022 Make/Model of Monitoring System: VEEDER ROOT TLS 350 PLUS Date of Testing/Scrvic e: 1/28/08 IL enc Tis Check the apemerinte boxes to indicate se2a al meat In ed/serviced: Tank ID: 605 Tank ID: ®In-Tank Gauging Probe: Model: 846390-109 pin-Tank Gauging Probe: Model: MAnnular Space or Vault Sensor. Model: 794390-420 OAnnular Space or Vault Sensor Model: ®Piping Sump/Treach Semsar•(s): Modal: 794380-208 pPipiing Sump/Trenc6 Sensor(s): Model• OFill Sump Sensor(s): Model: aFill Sump Sensor(s); Model: OMeehanical Line Leak Detector. Model: ®Mechanical Line Leak Detector. Model. L78lectronic Line Leak Detector Model: pEiectronic Line Leak Detector Model: ®Tank Overfill/Higb-level Sensor: Model: ®Tank Over dIffiigh-level Sensor: Madel: rLTA�ID. S and model in Section E on e 2 ,S i and model in Section B on Paste 2 TanklD: nk Gauging Probe: Model: pin-Tank Ga8 �: Model: ar Space or Vault Sensor. Model: C1Annular Space or Vault Sensor Model: Sump/Trenclt Sensor(s): Model: ®Piping Sump/Trench Sensor(s): Model: mp Sensor(s): Model: ORD Sump Sensor(sr Model: ®Mechanical Line Leak Detector. Model: ®Mechanical Line Leak Detector. Model: ®Electronic Line Leak Detector Model pBiectronic Line Leak Detector Model: O(Ta,�n,�k OverfilUHigh-level Sensor. Model: prank Overrdl/High-level Sensor. Model: EC31 ,S i Muie. and model in Section E on P 2 pother,S and model in Section E on Page 2 Dispenser ID. Dispenser ID: ®Dispenser Containment Sensor(s): Model: ®Dispenser Containment Sensor(s): Model: p Shear Valve(s), p Shear Valve(s). ODispenser Containment F s and C s pD' Containment Fl s and C ' s Dispenser ID: Dispenser ID: ODispenser Containment Sansor{s): Model: ®Dispenser Containment Sensors}: Model: p Shear Valve(s). p Shear Valve(s). ODispenser Containment FI s and C ' s pDi Containment Fl sand Chain s Dispenser ID: Dispenser ID: ODispenser Containment Sensors): Model: ®Dispenser Containment Sensors): Model: ❑Shear Valve(s). O Shear Valve(s). DD• neer Containment Fl s and Cha' s p Containment Fl sand Cha' s 01(the facility contains more tanks or dispensers,copy this farm. Include infamatiou for ev C. C°C t(pp - I c Brat theQY�k and dispenser at the facility. equipment identified to this document was inspected/serviced In Accordance with the manufatturenr'guidelines. Attached to this Certification Is lateranatfon(e g,mannfactar+ers,dwUlsts)necessary to verify that this information is correct and a Plot Phan showing the layout of monitoring equipment. For any equipment capable of generating such reports,I have also attached a topy of the report;(check ofd tttmr Technician Name(Print): John CascioSi Ct►'Is ®System set-up ®Ala ��. �t history report CertiSacction No.: 833337 License No.: �VS TestingCompany Name: TAIT ENVIRONALPhone Na.: 60.8222