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Hazardous Waste Tank System August <br /> I Written Assessment per CCR Title 22 <br /> Applied Aerospace Structures, Inc., Stockton, CA 95206 2014 <br /> Pae l ora <br /> Integrity Assessment Inspection Checklist <br /> General information <br /> Site Name. 1 1" <br /> " - 'Facility Contact- 'ii. Contact Tel No.:' '� '� ' Date-' ' <br /> ife <br /> Ave/I <br /> v �7 583 :33 X sr <br /> Site rens: ank Contents: <br /> Street ity: Zip: n <br /> Tapk ld(irf y GrossC�ell Yr nstall� Teak Mfg.: TankModek <br /> 4TrConfigur'at—ion(ion [(jpt .) imcnsions;ontal I] trcel /! 'Pectangula�Tanks L. 'W: H_ <br /> Cylindrical Tanks:.. Len thi Diann. <br /> Secondary ContainmenC <br /> Tank:[I DW Tank Contni lent bemt.:❑Controlled Drain/Swop [I None <br /> ❑ Other(dewnption) <br /> Piping:El Integral DW Piping. Conlamment bemi. ❑ Controlled DmuVSump ❑None <br /> ❑ Odter(descnplion) _ <br /> Tank Primary Containment Material ❑Steel ❑ Fiberglass OJther l r Wall Thickness. 7J <br /> Tank Secondary Containment,Material [I Steel ❑Fiberglass -1/J"Other IThiekness El None <br /> Piping Primary Containment Material ❑Sn:el- ❑ Fiberglass Cher//'`� lame...(..) <br /> Piping Secondary Contalnment Material 11 S1111 D FiberglassD`6her�lj/' ame(er(in) El None <br /> D"eripdoa/Comments: <br /> Other Equipment / <br /> L7Pump,Intemel(type,size)`Vvr�'-' V QPomp,External(type,sin) <br /> ❑Uny Tank ❑Dmin Teble ❑ dtrush ❑Other 11.Plectromc Momtar(Mfg/Modal) r <br /> Description/Comments;_ /✓. /� A Amy/ �v�� (��. �` <br /> Dwg's.Available? .Yes❑No. Is To 'inside building ar CovcYetl?. Leak Test of In ection Avail? <br /> Dw A. Yes Ll No ❑ Yes . a.IfYes,Date <br /> Placard Labeling <br /> ❑ Pr eInt D No Smoking ❑ Product Description ❑ Hazardous Waste gyp"-'`yam) <br /> Absea[ ElHL1WAccumStartDate UL Std No. ❑ (Doer 5 ■ECEIVED <br /> axaJ <br /> MAR 16 2015 <br /> ENVIRONMENTAL <br /> laCA'-U"COpDTgACRIT <br /> Strandberg Associates 1(866) 388-0404 rwaterguyCa)rwaterguy.com A-1 <br />