Laserfiche WebLink
Aboveground Storage Tank Assessment Certification <br /> TRACY CHEVROLET <br /> 3400 Auto Plaza Way, Tracy, California <br /> This document was prepared for: Tracy Chevrolet <br /> Company name: Tracy Chevrolet <br /> Address: 3400 Auto Plaza Way <br /> Tracy, California <br /> Tank/system identification: Waste Oil Tank <br /> Date of inspection(s)/assessment: 09 January 2018 <br /> Inspector name William Little <br /> This report consists of 6 pages(not including Cover sheet,Table of <br /> Contents, Figures, Tables and Appendices) <br /> I certify under penalty of law that this document and all attachments were prepared under my direction <br /> or supervision in accordance with a system designed to assure that qualified personnel properly gather <br /> and evaluate the information submitted. Based on my inquiry of the person or persons who mange the <br /> system, or those persons directly responsible for gathering the information, the information submitted <br /> is, to be the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br /> significant penalties for submitting false information, including the possibility of fine and imprisonment <br /> for knowing violations. <br /> William VanDerWall <br /> Engineer's name <br /> Signature �j✓ <br /> C 62560 Q�OFESSIO� <br /> License Number ��O\P�VAND�rR� yc <br /> 31 December 2019 rn m <br /> � C 62560 rn <br /> License Expiration <br /> Professional Civil Engineer s, C �4 <br /> -- — — T IVIL O� <br /> License Type -'OF CAS�F <br /> 3745 Main Street Unit A <br /> Address of engineer <br /> Kelseyville, CA 95421 <br /> City,State Zip <br /> William Little <br /> Inspector Name(If supervised by above) <br /> Signature <br />