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KL E AIFEL 0Ej9 <br /> 8riyht Mr,.p A:gAt Sok:rinms <br /> ABOVEGROUND STORAGE TANK ANNUAL INSPECTION FORM <br /> INTERSTATE TRUCKING INC., STOCKTON,SAN JOAQUIN <br /> Inspector: Signature: _,f" , pate Completed: I� <br /> Category: Tank Containment Tank Foundation and Supports Cathodic <br /> Inspection Item: Containment Drainage Evidence of Cracking or spalling of Tank supports in Water abie to drain Grounding CP system <br /> �y structure irl pipeslvalves fit tank settlement concrete pad or ring satisfactory condition? away from tank? strap functional? <br /> At fj satisfactory for continued or€oundation wall? secured and <br /> 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 /> p � / <br /> Comments: <br /> Note: Enter NA for questions that are not applicable for the specific tank. <br /> 20162686.001 AISAC16R33380 Page 1 of 4 February 19, 2016 <br /> Q 2016 Kleinfelder <br />