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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 />1111veIof.1 <br />Integrity Assessment Inspection Checklist <br />General InIbmiation <br />Site Name: / <br />Facility C tact: <br />Contact Tel No.: <br />.� G — 6/1d�'� <br />Date <br />Site Address: isR/ <br />Street &r, City: iot 6iy Zip: / L— <br />Task oalenta. <br />]yi tl (if aQ <br />((f�/A tt <br />C;rssa .ap city: <br />LX <br />Yr Installed:j <br />TaakjlfB.: <br />/f <br />Tank M9de� <br />/rte <br />Tank Configuration (long. imen.) <br />Dimensions: <br />011oriionta!Vertical <br />10 <br />Rectangular Tanks: I..: W: H: <br />Cylindrical Tanks: Len the into. <br />Secondary Containment <br />Tank: 0 Integral DIA' 'Iank/ ycontainmentberm ❑ Controlled Drsirf'Sump ❑ None <br />171 Other fdmription) <br />moi_ <br />Piping: ❑ Integral DW Piping Containment berm ❑ Controlled DrairVSump ❑ Sane <br />I� <br />/ <br />E-1 oAhcrldeuription)__ __ <br />Tank Primary Containment Material Steel ❑ Fiberglass ❑ Other Watt Thickness <br />/' <br />Tank Secondary Containment Material ❑ Steel ❑ Fiberglass P Otherd Wall Thickness fp ❑ None <br />Piping Primary Containment MaterialSteel ❑ Fiberglass ❑ Other_ Diameter (in.) / Y <br />Piping Secondar)Containment Materia❑ Steel ❑ Fiberglass of (cher• LeWTI'Diameter(in.) -APO None <br />iDescriptloniComments: <br />other t.yuipmeal / Ir <br />❑Pump• Internal (type, eve) (Pump, External (type, size 'A <br />❑Day "lank ❑Drain Table ❑Filter Crush ❑(cher ❑Electronic Monitor (Mfg+ Model) <br />Desc ript ioniCom me n t s: <br />E <br />Dwg's Available? 0 Y No <br />s <br />D"� <br />Is Tank inside Bsllding or Covered? <br />❑ Yes No <br />Leak Test or Inspection Avail? <br />❑ Yes ❑ u 11"Yes. Date <br />Placard Labeling <br />l'rc%cnt ❑ No Smoking Product Description Hazardous Waste <br />Af ,xnt�"'AccumwStart Date 111. Std No.� other <br />Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwaterguynrwaterguy.com A-5 <br />