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Hazardous Waste Tank System <br /> Written Assessment per CCR Title 22 February <br /> Jiffy Lube Store#3808, 3276 W. Grant Line Rd. 2019 <br /> Tracy, CA 95304 <br /> Hazardous Waste Storage Tank and Secondary Containment <br /> Assessment Document <br /> This document was prepared Per California Code of Regulations Title 22 <br /> (22 CCR 66265.192, 193) for the hazardous waste tank system(s) at: <br /> Jiffy Lube Store #3808 <br /> 3276 W. Grant Line Rd. <br /> Tracy, CA 95304 <br /> Tank/system identification: Used Oil and Used Antifreeze Tanks <br /> Date of inspection(s)/assessment: 2/15/19 <br /> This report consists of 30 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 personnel <br /> properly gather and evaluate the information submitted. Based on my inquiry of the person or <br /> persons who manage the system, or those persons directly responsible for gathering the <br /> 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 /> John Strandberg, P.E. <br /> CH3755, M34499 <br /> Chemical, Mechanical <br /> 422 First St. <br /> Davis, CA 95616 <br /> pp9F pti <br /> S "& Steel <br /> Fn Tank <br /> WM 4 9 m nstitute <br /> saaai% cEnrEe k <br /> L�1�i+7ll.b7�. iF ran - <br /> ' 41GP4 ' AN1�}~p <br /> Date stamped/signed: 4/3/19 <br /> Strandberg Associates 1(866) 388-0404 iohn(@strandbergassociates.com 1 <br />