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ECL EINE-HL DER <br /> e.�grrv.e�.aynr sa::rm.a <br /> Lr•. <br /> ABOVEGROUND STORAGE TANK ANNUAL INSPECTION <br /> FORM INTERSTATE TRUCK CENTER., STOCKTON, SAN <br /> JOAQUIN <br /> Inspector: j.- i- r rr!rr Signature: as- Dale Completed: .25/f Gf <br /> Category: Protection Tank External Tank Shell/Heads Tank Manways,Piping Tank Roof <br /> Coating and Equipment within <br /> Secondary Containment <br /> Inspection Item: Rectifier reading i Evidence of paint Noticeable Evidence of shoWhead Flanged connection bolts Standing water on Evidence to Hales in roof? <br /> failure? shelf/head corrosion or cracking? tight and fully engaged roof? coating <br /> distortions, with no sign or wear or cracking, <br /> buckling, corrosion? crazing, <br /> denting or <br /> bulging? peeling or <br /> blistering? <br /> Oil Storage or Usage Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No <br /> Location <br /> Comments: <br /> Note: Enter NA for questions that are not applicable far the specific tank. <br /> 20162686.001 AISAC16R33380 Page 2 of 4 February i 9, 2016 <br /> 0 2016 Kleinfelder Y <br />