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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 />Integrity ,Assessment Inspection Checklist <br />General Inlirnnation <br />Site Name:: Facility Co tact: <br />Contact Tel No.: <br />ate: <br />Date - <br />/ <br />.� f► " f OD <br />;;?0 -7A ­ <br />I` <br />y/.* th' <br />Site Address: NsAW <br />Tank on tents <br />Street _ �� Lc,!• City: Zip: /7r <br />�+� �►r'/'i!d <br />�ppk Id (if a y) <br />(.; cap city: <br />Yr Installed: <br />Tank kIrg.: <br />Tank M1F9ck� <br />Tank C:onrtguration (long. imen.) Dimensions: <br />Rectangular Tanks: 1_ W F(: <br />❑Harizonra; \'cnical C'riindrical Tanks: lxnelh: wrn. <br />Secondary Containment <br />Tank: ❑Integral UW I ank/01Containment berm ❑ Controlled Drain Sump ❑ None <br />❑ Other (description)—__._-- <br />piping: ❑ Integral DW Piping 0 Containment berm ❑ Controlled Draut Sump ❑ Name <br />/// <br />El0thcridescription)._ _ <br />Tank Primas ( onutinntrut Material Steel ❑ Fiberglass ❑ Other Will Thickocss + _ A. <br />Tank Secondary Containment Material ❑ Steel ❑ Fiberglass Othere�% Wsll Thickneci ❑ None <br />% <br />Piping Primary Containmrnt Material ❑ Fiberglass ❑ Other Diameter (in.) / � <br />/�jjNeel <br />/���/ <br />Piping Secondary Containment AlateriA ❑ Steel ❑ Fiberglass Chber'!'%CrOTDiameter (in.) —AP ❑ None <br />De+criptionlComments <br />Other It.yuipment / le <br />❑Pump. Internal (type, sue) 961ump, External ((\pe, size) <br />i <br />❑Day Tank ❑Drain Table OFilterCrush ❑Other_ _ ❑Electronic htonitor(Mfg'Model)_ _— <br />lk�scriptioo.Comments: <br />1 <br />Dsrg's Available? ❑Yes No <br />Is Tank Inside Building or Corered" <br />Leak ITor Inspection Avail? <br />1)U <br />❑ Yes No <br />❑ Yes ❑ o If Yes. Date <br />i <br />f <br />Placard Labeling <br />J Prescnt O No Smoking (Product Deseription_Hazarrdous Wa�tc <br />Absent 4W Accum titan Date Ill. Std No.� (hhcr <br />Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwaterguyarwaterguy.com A-5 <br />