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Tracy Mazda Waste Anti-__,xze Tank and Waste Oil Assessment <br /> Written Assessment per CCR Title 22 <br /> ir,�t•2 of 3 <br /> Integrity-Amesssment Ins tion Checklist conVd. <br /> Leak Wectios Tntiog %. <br /> Wank ❑Visual ❑Continuous Interstitial Monitor ❑Manual Monitor (None ❑pass❑Fail B .'t Tested <br /> ra,riping I v 1,al ❑Continuous InterstitialMonitor ❑Manual Monitor ❑None ❑Fail❑Not Tested <br /> Spill Prevendon/Overfill _ 7yes <br /> vote".(If no explain) <br /> Spill Hueket Ell' <br /> Y" "JNo I('yes,Capacity____ ❑No <br /> High ng <br /> H h Level Alarm Yes❑ No if yes,❑Audible UVisual Pass❑Fail❑Not Tested <br /> f <br /> Anto Shutoff Ycs C1No Testing <br /> ❑Pass❑Feil 0<Tas4ed <br /> Corrosion Prntcetion _� Ad 7(if 1Wexplain) <br /> n Coating El Cathodic Protection L-1 Other IJNdne Yes ❑No <br /> sivstem Condid Ad ah?(if oN explain) <br /> Foundation:t'7C3ood ❑i'air ❑Poor cs ❑No <br /> Add sate?(1f oo.explain) <br /> Tank: Ll C...d ❑Fair ❑Poor 2 Yes ❑No <br /> - - - Add sale?(if oo,explain) <br /> Piping: Good ❑Fair ❑Poor s LJYcs ❑No <br /> Adequate?(irno,explain) <br /> Wlardsc DGood OFa+r ❑Pax Nonc DIG* ❑No <br /> Adegq[e?(if oo.explain) <br /> Housekeeping: 06ond af► ❑Poor es ❑No <br /> Ad te?(irn%explain) <br /> Coastruetion Quality/Installation: good ❑Fair OP" Yes ❑No <br /> Fvidesee of Release jif yes,describe <br /> Staining: ❑Ye5 Nn Spillao Dyes 60 <br /> bisfressed Vegetation: ❑Yes No RsnofP ❑Yes No <br /> ComrnenWOther: <br /> 0 0 4;,r X/•y !,`t C_04,0Y0,-Lve 6-f .0 ~Arr <br /> Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwaterguy(arwaterguy.com 35 <br />