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MONITOR CERTIFICATION FORM <br /> CUSTOMER: t-ELEVEN, INC. SITE I.D.: 7-ELEVEN#32262 DATE: 06/03/99 <br /> ADDRESS: 2360 GRANTLINE, 1-205 OFF <br /> WORK ORDER: 2208865 <br /> MARKET#2235 <br /> TRACY, CA 95376 <br /> 1) IN TANK PROBES <br /> MANUFACTURER: TIDEL MODEL NUMBER: EMS3500 <br /> SERIAL NUMBER: NUMBER OF TANKS MONITORED: 3 <br /> SET UP FOR MONTHLY TEST(Y/N): LAST TEST DATE: / / PASSED/FAILED: <br /> DOES THE SYSTEM DISPLAY OR PRINT <br /> OUT MONTHLY TEST RESULTS (Y/N ): TYPE(DISPLAY OR PRINT OUT): <br /> OPERATIONAL (Y/N): YES <br /> COMMENTS: <br /> 2) OTHER PROBES: MANUFACTURER: MODEL: <br /> NUMBER OF LIQUID,FLOAT.SW, POSITIVE SHUT FAIL SAFE(Y/N) OPERATIONAL <br /> PROBE LOCATION PROBES OR VAPOR SENSO DOWN(Y/N) (Y/N) <br /> ANNULAR PROBE 3 LIQUID NO NO YES <br /> TURBINE SUMP 3 LIQUID NO NO YES <br /> FILL SUMP 0 <br /> FIBERTRENCH 0 <br /> MONITORING WELL 0 <br /> DISPENSER PAN 6 LIQUID NO NO YES <br /> OTHER 0 <br /> ANNULAR SPACE FILLED WITH MONITORING FLUID?DRY <br /> COMMENTS: <br /> PAGE 1 OF 2 <br />