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Hazardous Waste Tank System <br />Written Assessment per CCR Title 22 <br />,Chase Chrysler Jeep, Stockton, CA <br />March 9, 2011 <br />C <br />Integrity Assessment Inspection Checklist cont'd.) <br />Leak [)election <br />lank Vistuai O Continuous Intmonal Monnor ❑ Manual Monitor ❑Nurse <br />Tnting <br />Dass O Fail O Not Tcstcd <br />Piping ` sual 13Continuous interstitial Monitor O Manual Monitor ❑None <br />Testing <br />ass O Fail ❑ Not Tested <br />Spill Pr eventionithcrrill <br />Spill Bucket O Ycs No Il yVS. Capacity <br />Adegaale? Of an, explain) <br />Ye, No <br />HiRh Lc%el Alarns ❑ yeso No If yrs. DAudible ❑Visual <br />Testing <br />❑Pass O Fail Not Tcstcd <br />Auto Shutoff ❑ Ycs� Vw <br />Testing <br />❑Pass ❑Fail tyXnt Tested <br />Corrosion Protection <br />❑ Coaling ❑ Cathodic Protection Cl 00wr _ ANone <br />Adequate? (if no, explain) <br />{�es ❑',No _ <br />System Condition <br />Foundation: 'ood ❑Fair OP(wr <br />Adequate? (if no, explain) <br />❑Yes O No <br />- <br />Tank: OGood OFair ❑Poor _ <br />Adequate? (if no, explain) <br />OY(•s ❑ No <br />Piping: ❑Good ❑Fair ❑1'oors _., <br />Adequate? (if no, explain) <br />❑Yes ❑ No <br />Bollards: OG(•od Orair ❑Poor Nam <br />Adequate? (if no, explain) <br />%Yes U No <br />4 <br />Housekeeping: ❑Good Fair OPoor _ <br />Adequate? (if no, explain) /'Tfr <br />❑Yrs [I No <br />Construction Qua lityllastallation_ 15" OFair OPow <br />Adequate? (if so, explain) <br />Dyes O No <br />Evidence of Release (if ses describe) <br />Staining: G 1 rs No Spills: Dyes g(NIO <br />Distressed Vegetation: ❑Yes 10No Runoff: ❑Ycs No <br />Conunents;Other: <br />IL <br />,� �� �� iii �m� � n � ��• <br />S1 RANc_,Hi RG ASSQCIATCS LLC <br />Strandberg Associates 1(866) 388-0404 (650) 329-8918 Iwaterguy(dIrwaterguy.com A-3 <br />