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cal-cqA foraim <br />APPENDIX A <br />PE ASSESSMENT CHECKLIST <br />Facility Name: &- Vwl VVa F 1 d✓'g4dnl <br />Date of Assessment: <br />Date Assessment Received: <br />Type of Unit(s): a e1v I IGQ U@� al 11 <br />111 jk <br />guidance = <br />Page # <br />--The Assessment references the standards listed in CCR Title 22, 66265.192. <br />--The discipline of the PE is appropriate for the type of system and the license is clear4 <br />Title 22, 66265.192 (a) <br />n�nhe signatfltystaternent fisted -in -66270.1 I <br />--Foundation, structural support, seams, connections <br />and pressure controls (if applicable) are adequately designed <br />and that the tank system has sufficient structural strength, <br />compatibility with the waste(s) to be transferred, stored or treated, and corrosion <br />protection so that it will not collapse rupture or fail. <br />(a)(1) --Design standards according to which the tanks are or will be <br />constructed are included <br />(a)(2) --Hazardous waste characteristics of the waste(s) that have been or <br />will be handled are listed <br />(a)(3) --(If applicable) Determination by a corrosion expert of: <br />A) Factors affecting the potential for corrosion, including but not limited to: <br />I. Soil moisture content <br />2. Soil pH <br />3. Soil sulfides level <br />4. Soil resistivity <br />5. Structure to soil potential <br />6. Influence of nearby underground metal structures <br />7. Stray electric current <br />8. Existing corrosion -protection measures <br />And <br />a See Department of Toxic Substances Control clarification letter (Appendix E) for additional information on <br />identifying a qualified engineer. <br />"The following web site may be utilized to look up license information. httr)://www.dca.ca.sov/l)els/i lookuo htm <br />13 <br />