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Ross Robert Truck Repair Used Oil Tank Interim Assessment and Conditional Certification September 14, 2021 AST Integrity Assessment Inspection Checklist Tank Inspector: Nancy Rebholtz Cert#: AST-6710 Site Name: Ross Roberts Facility Contact: Contact Tel No.: Date: 7/20/2021 Truck Repair Dan Payne 209-466-56230 Site Address: Tank Contents: Street: 641 S. Harrison St City: Stockton Zip:_95206 Waste Oil Tank Id (if any) Gross Capacity: Yr Installed: Tank Mfg.: Tank Model: none From dimensions: 300 gal Unknown Containment Solutions Lube Cube Previous Formal Inspections ®No ❑Yes Date: Type:El Internal El External Copy of Prior Inspection Available?: ❑Yes ®No Owner Annual Inspections Review Owner Monthly Inspections Review Copy of Inspection Available?: ❑Yes NNo Copy of Inspection Available?: El Yes NNo Operating Inspection Frequency ❑Annually ❑Monthly ❑Weekly ❑Daily ❑Per Shift Recorded ❑Yes ❑No Tank Configuration(long. dimen.) Dimensions: Rectangular Tank: L: 60" W: 30" H:_40"_ ®Horizontal ❑Vertical Secondary Tank: L: 63" W: 36.5" H:_37.5" Industry Standard(Fabrication&Nameplate Data) NUL 142 ❑UL 2085 ❑ UL 80 ❑ API 650 ❑ Other ❑Not Determined Nameplate Shell Thickness: in. Bottom Thickness: in. Deck Thickness: Dwg's Available? ❑Yes NNo Is Tank inside Building or Covered? Leak Test or Inspection Avail? Dwg# I ®Yes ❑No ❑Yes MNo If Yes,Date_ Overall Tank System Condition: ®Good ❑Fair ❑Poor Adequate? (if no, explain) NYes ❑No Tank Primary Tank Material MSteel ❑Fiberglass ❑Other Wall Thickness 0.10723" Basis: MUT ❑Spec ❑UL Secondary Containment ❑Integral DW Tank El Containment berm Dimensions: El Controlled Drain/Sump ❑None ❑ Other(description) Tertiary tank containment provided by concrete containment berm,_47"x 235"x a minimum of 8"high Liquid in Secondary Containment?: ❑Yes MNo If Yes,contents: Secondary Containment Material MSteel ❑Fiberglass ❑Other ❑None Wall Thickness 0.10568" Secondary Containment Condition ❑Good ®Fair ❑Poor Holes/cracks? ❑Yes MNo Degraded integrity? ❑Yes ®No Corrosion? ❑Yes MNo Paint Failure? ®Yes ❑No areas of tank coatin have been worn or scraped off ..............................................................g....................................................................................................p............................................................................................................................................................................................................................................ Secondary Containment Drain Valve ❑Good ❑Fair ❑Poor MNo Valve Adequate?(if no,explain) ®Yes ❑No How is Tank Level Determined? ❑ Electronic ❑Mechanical Tank Gauge Testing—Level Gauge M Dipstick ❑ Sight Glass ❑ Other No graduated dipstick ❑ Pass ❑ Fail M Not Tested Level Gauge Operational? ❑ Yes ❑ No M N/A Testing—High Level Alarm High Level Alarm ❑ Yes M No If yes, ❑ Audible ❑ Visual ❑ Pass ❑ Fail N Not Tested Description/Make/Model/Comments: Overfill Prevention ❑ Present M Absent Testing ❑ Pass ❑ Fail M Not Tested Overfill Valve Installed: ❑ Yes M No High Level Alarm Triggers Shutoff? ❑ Yes M No 3