Laserfiche WebLink
RECEIVED ON 11/17/2022 VIA EMAIL (19 Pages) <br /> Tank and St-,wrldary Containment <br /> Assessment Docu rrient per 22CCR66265.192 <br /> This document was prepared for: <br /> Lodi Honda <br /> 1700 South Cherokee Lane <br /> Lodi, CA 95240 <br /> Tank/system identification: <br /> Waste Oil Storage Tank Royal N fg. S/N C23945 <br /> Used Coolant Storage Tank S/N 1139755 <br /> i <br /> Date of inspections)/assessment: <br /> April 29, 2022 Revised November 17,2022 <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, Basel on my inquiry of the person or persons who manage the <br /> system,or those persons directly responsible fjor gathering the information,the information submitted is, <br /> o be the best of my knowledge and belief, tr'u' ,accurate,and complete. 1 am aware that there are <br /> significant penalties for submitting false inforiiaation,including the possibility of fine and imprisonment <br /> or knowing violations. <br /> Engineer's name: Jeffrey K. Belwood,j 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 CA <br /> 5366 <br /> Q�oV ESS/0 pRpFESS io y� <br /> 45 7 <br /> EXP. 75 <br /> 6/30/2023 9 <br /> * <br /> Exp- G,1 3n 2. <br /> s� CIV ll. �`� <br /> grFo�, �A � sr �'�if►�ty%c,. <br /> Date stamped/signed: May 3, 2022 <br /> l <br />