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Aboveground Storage Tank Assessment Certification <br /> TRACY CHEVROLET <br /> 3400 Auto Plaza Way, Tracy, California <br /> This document was prepared for: Tracy Chevrolet <br /> Company name: Tracy Chevrolet <br /> Address: 3400 Auto Plaza Way <br /> Tracy, California <br /> Tank/system identification: Waste Oil Tank <br /> Date of inspection(s)/assessment: 09 January 2018 <br /> Inspector name William Little <br /> This report consists of 6 pages (not including Cover sheet, Table of <br /> Contents, Figures, Tables and Appendices) <br /> I certify under penalty of law that this document and all attachments were prepared under my direction <br /> or 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 mange the <br /> system, or those persons directly responsible for gathering the information, the information submitted <br /> is, to be the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br /> significant penalties for submitting false information, including the possibility of fine and imprisonment <br /> for knowing violations. <br /> William VanDerWall <br /> Engineers name�/✓��% <br /> Signature ✓ <br /> C 62560 Q�OFESS�O <br /> License Number <br /> 31 December 2019 <br /> c� C <br /> license Expiration 62560� .� <br /> Professional Civil Engineer <br /> � CIVtiL Off\ <br /> License Type qTF OF CA��F <br /> 3745 Main Street Unit A <br /> Address of engineer <br /> Kelseyville, CA 95421 <br /> City,State Zip <br /> William Little <br /> Inspector Name(If supervised by above) <br /> Signature <br />