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Hazardous Waste Tank System <br />Written Assessment per CCR Title 22 <br />Stockton CSMS, Stockton, CA <br />Integrity Assessment Inspection Checklist (cont'd.) <br />Leak Detection <br />Tank Visual ❑ Continuous Interstitial Monitor ❑ Manual Monitor ❑None <br />Testing <br />;VPass ❑ Fail ❑ Not Tested <br />IIM <br />I <br />Piping kvisual ❑ Continuous Interstitial Monitor ❑ Manual Monitor ❑None <br />Testing <br />Pass ❑ Fail ❑ Not Tested <br />S entwn/ove I <br />9111M Bnrket A Ye o If yes. Capxin' <br />Adequate? (if no. explain) <br />❑Yes ❑ No %"%v <br />High level Ala esaf No (ryes, ❑Audible ❑Visual <br />Testing <br />❑Pass ❑ Fail -ot Iested — <br />Auto Shutoff r Yes ❑ No <br />Testing <br />❑Pass ❑ rai Nol Tested <br />Corrosion Protection 7tr <br />❑ Coating ❑ Cathodic Protection 49 (ober ❑ None <br />Adequate? (if no, explain) <br />7Ycs ❑ No <br />System Condition <br />Foundation: Good ❑Fair ❑Poor <br />e? (if no, explain) <br />Zes❑ No <br />Tank: Good ❑Fair ❑Poor _ <br />Adequate? (if no, explain) <br />IdYes ❑ No <br />Piping: ❑Good Pair ❑Poors _ _ <br />Ate? (if no, explain) <br />Yes ❑ No <br />Rollards: ❑Good ❑Fair ❑Poor None <br />Adequate? (if no, explain) <br />❑Ycs X No <br />Housekeeping: XGood ❑Fair ❑Ptvr _ <br />Adequate? (if no, explain) <br />Yes ❑ No <br />Construction Quality/Installation: Good ❑Fair ❑Poor <br />Adequate'! (if no, explain) <br />lkYes ❑ No <br />l <br />l <br />I <br />Evidence of Releave (i aes, describe) <br />Staining: ❑Yx o Spills: ❑Yrs L4 <br />Distressed Vegetation: ❑Yes E7go Runoff: Oyes No <br />Comments/Other: 1W (4,14AD Ale <br />R <br />tY OTIE <br />Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwaterquVC�rwaterquV.com A-2 <br />