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Ar <br /> '�" r California Self-Inspection Form for Business Plans, <br /> �� Ever better' Hazardous Waste and Hazardous Materials (HWIHM) <br /> Location Address: City stato Zip <br /> 316 33 D,c is Cvlrc k. O,I- Siuck4, GP+ <br /> Location Code: <br /> Month and Year: <br /> 1071 — Si-ock`I�^ c ��- <br /> SECTION I: HAZARDOUS WASTE TANK SYSTEM INSPECTIONS (COMPLETE DAILY TANK SYSTEM ID: <br /> THIS SECTION TO BE COMPLETED BY RYDER FACILITIES THAT STORE HAZARDOUS WASTE IN ASTS AND GENERATE <br /> .ORE THAN 270 GALS of HAZAROOUS WASTE TYPICALLY USED OIL IN ANY MONTH. <br /> (1) (2) (4) (51 <br /> QVERFLLUSPU CONTROL SYSTEM FREE OF LEAK DETECTION SECONDARY CONTAINMENT IN PIPES ANDYALVE INSPECTED BY� <br /> ECUIPMENT IN COOD CORROSION AND PROGRANJEOUIPMENT GOOD WORKING ORDER AND PUMPS FREE OF LEAKS <br /> DAY WORI(ING ORDER NO VISIBLE DAMAGE WORKING FREE OF WASTE AND LQUID AND IN GGOO CONDrrION (PRINT NAME) <br /> 1 Yes❑No Yes[:1No Yes❑No Yes❑No ❑Yes❑No <br /> 2 t�Yes❑No Yes❑No ❑Yes❑No Yes❑No Yes❑ND L <br /> 3 ®Yes❑No Yes❑No 0 Yes❑No V3 Yes❑NO Yes❑No <br /> 4 [} Yes❑No Yes❑No Yes❑No Yes❑No Yes❑No <br /> 5 ]Yes❑Na W Yes❑No qYes0N0 Yes❑No Yes❑No <br /> yes No <br /> es No <br /> 7 <br /> 6 ED Yes❑Na Yes❑No Yes❑No Yes❑No Yes❑No <br /> 9 Yes❑No Yes❑No Yes❑No Yes❑No Yes❑No <br /> 10 Yes❑No Yes❑No Yes❑No Yes❑No Yes❑No <br /> 11 Yes❑No Yes❑No Yes❑No Yes❑No Yes❑No <br /> 12 Yes❑No Yes❑NG Yes❑Nv �]Yes❑No Yes❑No `u l <br /> 14 es <br /> 15 Yes❑No Yes❑No Yes❑No Yes❑No Yes -1 No <br /> 16 IlYes❑No Ef Yes❑No Yes❑No Yes CO]No Yes❑No <br /> 17 IV Yes❑—No— <br /> Yes❑No Yes❑No Yes❑No Yes Cl No <br /> 18 �Yes❑No E(Yes 0 No Yes❑No Yes❑No Yes❑No <br /> 19JYes❑No [ Yes❑ No Yes❑No Yes❑No Yes❑No <br /> 22 Yes❑No D�Ves❑No D Yes[I No [ Yes❑No Yes❑No <br /> 23 Yes❑No 2d Yes❑No Cg Yes❑No Yes❑No Yes❑No vu <br /> 24 [ Yes❑No ❑Yes❑No ❑Yes❑No []Yes❑No Yes❑No <br /> 25 MYes❑No Yes❑No Yes❑No Yes❑No Yes 0 No DM <br /> 26 s_Yes❑No Yes❑No Yes❑No P Yes❑No Yes❑No <br /> No <br /> 29 Yes❑No qYes❑No P Yes El No RIYes[INo No Yes❑ <br /> 30 1P Yes❑No Yes❑NG Yes❑No fo Yes❑No ( Yes❑No <br /> COMMENTS I CORRECTIVE ACTIONS TAKEN: <br /> Retention Period: Indefinitely <br /> ES47(OOf2021)-Page 1 of 2 File Indefinitely In the Quarterly Caldornia HMBP Self Inspection Form Folder 5.2 <br />