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SERVICE STATION MONITORING SYSTEM CERTIFICATION <br /> ..._.-.......... <br /> STATION ADDRESS: 880 VICTOR RD <br /> CITY : LODI, CA <br /> WIC#: 4416-0806 <br /> Tank Material: [ X) Fiberglass [ ] Steel [ ] Fibersteel <br /> Tank Type: [ ] Single Wall [ X) Double Wall <br /> Line Material: [ X] Fiberglass [ ] Steel [ ] Flex Line <br /> Line Type: [ ] Single Wall [ X] Double Wall [ ] Trench Containment <br /> Waste Oil Tank Type: [ ] Single Wall [ X) Double Wall [ ] Above Ground <br /> Waste Oil Line Type: [ X) Single Wall [ ] Double Wall [ ] Direct Fill(No Product Lines) <br /> TANK MONITQRING,SYSTI;M,- CEItTIF,.IED: <br /> QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER <br /> SHUT DOWN SAFE MODEL NUMBER <br /> Interstitial Monitor <br /> 2 [XIWet [ I Dry Annular No No Yes TLS <br /> - - <br /> 2 l Electronic Tank Level Monitor i Yes TLS <br /> — — — <br /> 0 Vadose Monitor <br /> 0 Fill/Vapor Recovery Riser <br /> Comments: <br /> WASTE OIL.MONITORTN„G,,.,,SYSTEM-CERTIFIED: <br /> QTY I TYPE OPERATIONAL MANUFACTURER <br /> MODEL NUMBER <br /> Interstitial Monitor <br /> I.._ -0[X) Wet [ I DryAnnular Yes - RONAN <br /> Waste Oil Line Monitor <br /> 0 [ ] Wet I 1 Dry Annular <br /> 0 Fill/Vapor Recovery Riser ___ <br /> 1 Comments: - <br /> LINE140NUO . G.SYS IEI .a . .._. - <br /> QTY TYPE POSITIVE FAIL 'OPERATIONAL MANUFACTURER <br /> i SHUT DOWN SAFE MODEL NUMBER <br /> I 0 Mechanical Leak Detector <br /> 2 Electronic Line Pressure Monitor Yes Yes Yes VEEDER ROOT <br /> Electronic Line Pressure Monitor <br /> 0 with Mechanical Leak Detector <br /> 2 ;Electronic Tank Sump Monitor Yes Yes Yes TLS <br /> 0 Electronic Line Trench Monitor j <br /> I certify that the above information is accurate and functioning according to manufacturers specifications. <br /> SIGNATURE: COMPANY: NDE Environmental Corp. <br /> PRINT NAME: MARK SHAW DATE: 02/26/96 <br /> Rev:12/4/95 Page I of 3 <br />