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Tracy Mazda Waste Anti,. xze Tank and Waste Oil Assessment <br /> Written Assessment per CCR Title 22 <br /> �r. 74 o f7 <br /> Pune I r, <br /> _ Integrity Aswument Inspection Checklist <br /> General Infonnation <br /> Site Name: Facility Cot od: Contact Tel f4w Date: <br /> A44I r NI Ilet► .to. ///"• o <br /> Site Address: y r Took Caatanbt <br /> Street >ra 2G � C�,.; Zip �� <br /> t149400 oft 60 <br /> 'rank Id(if any) Cres C city: Yr Installed: Tank Mfg.sank odel- <br /> W 0T G'!4 ,�S/ .?.�aa�' ) is <br /> uffil <br /> Tank Confixuratiar(long,dimen.) Dintenalnnss / <br /> ;11Horizontal ❑Vertical Rectangular Tanks: L: W:WH:� i w <br /> Cylindrical Tanks: Le h: Diam. <br /> Secondary Containment <br /> Tank:9L Integral DW Tank❑Containmtmt berm ❑ Controlktd Drain+Sump ❑ None <br /> Q Other(descnption)__ <br /> Piping:0 Integral DW Piping❑Containment berm ❑ Controlled DraiwSump ❑ None <br /> GI clther(Acccriptian)_Qr✓0 ��.7 F0. ._ <br /> 'rank Primary Containment Material QS Steel O Fiberglass ❑ Other__.____ Wali ThicJttaess___ <br /> Tank%eeoadery Contaimment Material 4Stcel O Fiberglass ❑ Other— Wall Thickness, ❑None <br /> Piping Primary Containment Material ❑Steel ❑ Fiberglass 19 Other Diameter(in.)-­­ <br /> Piping <br /> in.)__ _Piping Secondary Containment Material ❑Steel ❑ Fiberglass ❑ Other __Dimmer(In,)_ U None <br /> lhtcaiplioealCommeals: _��.Li__��. �R11 >r �-�,�,y-_atO <br /> Other Equipment 114eowoy /19jF0 <br /> OPump.InternAl(type.Site),__ $Pump,F krratl(type,eine) <br /> OI)aylank DDrain rable ❑Filter Crush 00ther. !'�fiectronicMonitor(Mfg/Model <br /> Description/Commeab: ­ <br /> i <br /> Dsrg`s Available? ❑ Yes No Is Took inside Building or Covera!? Leak Test or Inspection Avail? <br /> [hti k Yes❑ No ❑ Yes X No Ir Yes,Date <br /> Placard 74o <br /> Not <br /> ccn <br /> Prrot Smoking It Product Description_ Hazardous Waste <br /> Absent �HW Ace=Stan Dau it UL Std No._ ❑ Other <br /> STRANDBERG ASSOCIATES LLC <br /> Strandberg Associates 1(866] 388-0404 (650) 329-8918 rwaterguyCCDrwaterguY.com 34 <br />