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f <br /> Tank and Secondary Containment <br /> Assessment Document per 22CCR66265.192 <br /> This document was prepared for: <br /> Lodi Honda <br /> 1700 South Cherokee Lane <br /> Lodi, CA 95240 <br /> rank/system identification: <br /> Waste Oil Storage Tank Royal Mfg. SIN C23945 <br /> Used Coolant Storage Tank SIN 439755 <br /> Date of inspection(s)lassessment: <br /> Apri129, 2022 <br /> This report consists of 19 pages. <br /> certify under penalty of law that this document and all attachments were prepared under my direction <br /> r supervision in accordance with a system designed to assure that qualified personnel properly gather <br /> and evaluate the information submitted. Based on my inquiry of the person or persons who manage the <br /> system,or those persons directly responsible for gathering the information,the information submitted is, <br /> o be the best of my knowledge and belief,true,accurate,and complete. 1 am aware that there are <br /> significant penalties for submitting false information,including the possibility of fine and imprisonment <br /> or 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 /> ddress of engineer: PO Box 9384, Stockton, CA 95208, 623 Baker Dr. Ripon CA <br /> 5366 <br /> Q�oM S10 PROFESS Fad <br /> C ��`� �`�� � K. Ue� ��� <br /> 5 37 <br /> _9705 <br /> * EXP, 6/30/2023 * EXP. <br /> { <br /> HAN <br /> f 0� CAl.�FO r,�jF of cIOL.� <br /> Date stamped/signed: May 3, 2022 <br /> l <br />