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RECEIVED <br /> Safeway JUN 17 2011 <br /> Tracy Distribution Center <br /> Truck Repair Shop SAN JOAQUIN COUNTY <br /> Used Oil Tank Assessment and Certification ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Prepared by: Miller Engineering, Danville, California <br /> Date: June 3, 2011 <br /> The attached assessment report summarizes the inspections, testing, and assessment of the <br /> used oil tank system. The assessment is limited to: <br /> • Used oil tank <br /> • Ancillary equipment and piping associated with the used oil conveyance and <br /> storage. <br /> Based on the information contained in the attached assessment report,the tank system is <br /> certified for a minimum of 5 years,with re-inspection and certification required by June <br /> 2016. <br /> I certify under penalty of law that this document and all attachments were prepared <br /> under my direction or supervision in accordance with a system designed to assure that <br /> qualified personnel properly gathered and evaluated the information submitted. Based <br /> on my inquiry of the person or persons who managed the system, or those person <br /> directly responsible for gathering the information, the information submitted is, to the <br /> best of my knowledge and belief, true, accurate, and complete. I am aware that there <br /> are significant penalties for submitting false information, including the possibility of <br /> fines and imprisonment for knowing violations(22CCR 66270.1 l(d)). <br /> Dennis Miller, P.E. <br /> License No. C 28108 `- <br /> Expiration: March 31,2012 <br /> \:1 28108���. <br /> Attachments: <br /> A. 22 CCR Section 66265.192 -Design and Installation of New Tank Systems or <br /> Components and 22 CCR Section 66265.193 Containment and Detection of Leaks <br /> B. San Joaquin County Environmental Health Department(SJCEHD)—Appendix 3: <br /> Assessment Requirements for New Tanks Holding non-RCRA wastes <br /> C. Tank Drawings <br /> D. Tank and Pipeline Testing Results <br /> E. Structural Anchoring/Seismic Documentation <br />