Laserfiche WebLink
Tank and Secondary Containment <br /> Assessment Document <br /> This document was prepared for: <br /> Lodi Honda <br /> 1700 S. Cherokee Lane <br /> Lodi CA 95240 <br /> ank/system identification: <br /> Used Coolant Storage Tank SIN 439755 <br /> Waste Oil Storage Tank S/N C23945 <br /> Date of inspection/assessment: December 2, 2016 <br /> This report consists of 19 pages. <br /> I certify under penalty of law that this document and all attachments were prepared under my <br /> direction or supervision in accordance with a system designed to assure that qualified <br /> personnel properly gather and evaluate the information submitted. Based on my inquiry of the <br /> person or persons who manage the system, or those persons directly responsible for gathering <br /> he information, the information submitted is, to be the best of my knowledge and belief, true, <br /> accurate, and complete. I am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for knowing violations. <br /> Engineer's name: Jeffrey K. Belwood, Robert F. Martin <br /> License Number: M-29705, C-53437 <br /> License Type: Mechanical, Civil <br /> Address of engineer: PO Box 9384, Stockton, CA 95208, 623 Baker Dr. Ripon <br /> CA 95366 <br /> pR ESSio, <br /> Lu � <br /> J!!-- 1 0 C53437 G � <br /> �D29705 <br /> Exp- 6 30 ,� <br /> Exp. �7 <br /> s �FCNAN1Ct� �� ��9T CML <br /> r�TE of Z#A-%' FBF CAL�FO� <br /> Date stamped/signed: December 6, 2016 <br /> 1 <br />