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Hazardous Waste Tank System <br />Written Assessment per CCR Title 22 <br />Stockton CSMS. Stockton. CA <br />Al <br />A-01 <br />Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwaterquy(aDrwaterquy.com A-6 <br />Integrity Assessment Inspection Checklist conVd.) <br />Leak lletecti9n <br />Tank isual ❑ Continuous Interstitial Monitor ❑ Manual Monitor DNone <br />T�t;^y <br />Puss D Fail ❑ Not Tested <br />Piping CXisual ❑ Continuous Interstitial Monitor ❑ Manual Monitor ONone <br />Test�ln - <br />Fail ❑ Not Tested <br />Spill Prevention/Overfill <br />No <br />Spill Bucket ❑ Yes If yes, Capacity <br />Adequate? (if no, explain) <br />EK , ❑ No <br />High Uvel Alarm Q Yes 9--N. If yes, ❑Audible ❑Visual <br />Testing <br />❑Pass ❑ Faiiof Tested — - - ----- <br />-- <br />Auto Shutoff dyes C1No <br />Testing � <br />❑Pass ❑ Fail of Tested <br />Corrosion Protection j w J�� <br />❑ Coating ❑ Cathodic Protection Iff Other ❑ None <br />Adequate? (if no, explain) <br />es ❑ No <br />Svstem Condition <br />Foundation: 1:5Good DFair ❑Pan — - -- - ----- <br />Adequate'! (if no, explain) <br />t-tYes ❑ No <br />Tank: 21(.d ❑Fair ❑Poor <br />Adequate? (if no, explain) <br />&�es ❑ No <br />Piping: ❑Good DFair OPoors_ <br />ed ? (if no, explain i <br />Ad <br />L1Y�'s ❑ No <br />Bollards: ❑Good []Fair OPoor 3Nune <br />Adequate,? (/if no, explain i <br />❑Yes l'J No <br />- — <br />� <br />Ilousekeeping: ©hood OFair ❑Poor - - <br />Adee te? (if no, explain) <br />L7Yes ❑ No <br />- <br />_ / <br />ConsiruclionQuality/Installation: Good ❑Fair ❑Poor <br />Adequ te? (if no, explain) <br />Yes ❑ No <br />Evidence of Release 06es, describe) <br />Staining: ❑t'es No Spills: Dyes 0<1 <br />Distressed Vegetation: ❑Yes VNo Runoff: ❑Yes 1111'o <br />Comments/Other: <br />L�C{ G /L� 2'oE fs► <br />Al <br />A-01 <br />Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwaterquy(aDrwaterquy.com A-6 <br />