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r� <br /> KL EINFEL OE F <br /> A13OVEGROUND STORAGE TANK ANNUAL INSPECTION FORM <br /> INTERSTATE TRUCKING INC.,STOCKTON, SAN JOAQUIN <br /> Inspector: / 4Y ! t•� f Signature: f`:= J6 Cate Com feted: i <br /> Category: Tank Containment Tank Foundation and Supports Calhodic <br /> Inspection Rem: Containment Drainage Evidence of Cracking or"ling of Tank supports in Water able to drain Grounding CP system <br /> t structure in Opeslvalves fit tank settlement concrete pad or ring satisfactory condition? away from tank? strap functional? <br /> J satisfactory for continued or founcialion wail? secured and <br /> 1 condition? service? washout? in good <br /> condition? <br /> Oil Storage or Usage Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No <br /> Location <br /> f v r V .f r ✓ rE!1 YVI <br /> Comments: <br /> Note: Enter NA for questions that are not applicable for the specific tank. <br /> 20162686.001AISAC16R33380 Page 1 of 4 February 19,2016 <br /> 0 2016 Kiel nfeider <br />