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KL.EINFELOER <br /> ABOVEGROUND STORAGE TANK ANNUAL INSPECTION <br /> FORM INTERSTATE TRUCK CENTER., STOCKTON,SAN <br /> pp d <br /> Ins JOAG4UIN <br /> Inspector: G e0 �Y <br /> p Jy Signature: .ski_ �T�zz� %y Cate Completed:_2,f <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 Evidence of paint Noticeable Evidence of shell/head Flanged connection baits Standing water on Evidence fo Holes in roof? <br /> failure? shell/head corrosion ore racking? tight and fully engaged roof? coating <br /> l ., distortions, with no sign or wear or cracking, <br /> V buckling, corrosion? crazing, <br /> denting or <br /> peeling or <br /> bulging? <br /> blistering? <br /> Oil Storage or ion usage Yes No Yes No Yes No Yes No Yes No Yes No Yes NoT <br /> es No <br /> Location <br /> Comments: <br /> Nate: Enter NA for questions that are not applicable for the specific tank. <br /> 26162686.001 AISAC16R33386 Page 2 of 4 February 19, 2016 <br /> 02016 KleInfelder <br />