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-2- <br /> • *11 HOW DO YOU DISPOSE OF SPENT SOLVENT FROM THE PARTS WASHER 5 (CHECK ALL THAT APPLY) <br /> A Waste ail tank F Restroom <br /> B Dumpster G �_Hauler, but do not know if hauler has <br /> C —EPAIDOT licensed hauler EPA/DOT license <br /> handles solvent H— Waste Oil Hauler <br /> D x Safely-Kleen or equivalent <br /> (supplier handles spent solvent) <br /> E _Day Drains <br /> *12 HOW DO YOU DISPOSE OF LIQUID WASTE FROM RADIATOR WORK? (SPENT_ ANTIFREEZE AND <br /> FLUSH/FILL SOLUTIONS) CHECK ALL THAT APPLY <br /> A _Bay drains D Outdoor pavement <br /> B —Toilet, sink, or restroom drain E x Drum or tank the spent antifreeze <br /> (separate from waste oil) <br /> C Waste Oil Tank F _Other <br /> *13 WHAT TYPE OF RADIATOR SERVICE IS PERFORMED? <br /> A x Flush/Fill C _ No antifreeze replacement is performed due to <br /> -' environmental restrictions <br /> B -Drain/Fill Only D _ No antifreeze replacement is performed due to other <br /> reasons <br /> *14 LOCATION OF USED BATTERY STORAGE <br /> A Outdoor B x Indoor <br /> *15 TYPE OF USED BATTERY STORAGE CHECK ALL THAT APDL <br /> A Covered E _On special surface <br /> B x Uncovered F —Diked area <br /> C _On pavement/floor C On wood pallets <br /> • D _On ground On metal rack <br /> *16 CONCERNING UNDERGROUND GASOLINE TANKS, CHECK APPROPRIATE BOXES <br /> A —No gasoline tanks ever on property E x Gasoline dispensing was conducted at this location <br /> at one time, but status of Lanka to unknown (Cry to <br /> determine) <br /> B —Gasoline. tanks filled with water F —Gasoline currently dispensed <br /> C Gasoline tanks were filled with sand <br /> or slurry G How many tanks? _Tanks <br /> D Gasoline tanks were removed <br /> *17 WHAT TYPE OF WASTE OIL STORAGE IS USED? <br /> A x Above ground tank C _Underground tank <br /> B Drums D _Others,,,_ <br /> *18 LOCATION OF WASTE OIL STORAGE <br /> A x Inside B _Outside <br /> *19 ARE ANY UNDERGROUND WASTE OIL TANKS NOT IN USEI <br /> A _YES B _NO <br /> Unable to determine <br /> *20 IF YES CHECK APPROPRIATE BOXES <br /> A _Pumped out D _Filled with water <br /> B _Some waste oil remains E —Tank leaked prior to ceasing use <br /> C —Filled per fire code <br /> *21 CHECK THE BOX WHICH DESCRIBE THE UNDERGROUND WASTE OIL TANK IF ONE EXISTS <br /> A Excessive surface spillage (more than 25 R=) FWater accumulates in tank <br /> B There is no cap on fill pipe G�—Tank appears to be leaking <br /> C _Surface spillage drains to nearby storm drain H Tank area is covered with pavement <br /> D. _Pavement severely damaged I Tank is covered with moil—(no pavement cover) <br /> E Pavementlground is sunken around fill pipe 7 Grease trap connected to tank <br /> K_Fill pipe is inside store <br /> L _Other problems (describe) <br />