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Final Assessment-Hazardous Waste Tank System September 2012 <br /> Preliminary Written Assessment per CCR Title 22 <br /> Pro Lube, Lodi CA 95240 <br /> Inspection Notes <br /> Inteerity Assessment Inspection Checklist <br /> General information <br /> _ - <br /> Site Name: U"L O'GFaeili ,Contae : Contact Tel No.: Date:Sli <br /> � 3Co z> �z <br /> to Addrsss: L, / Tank Coateots: / <br /> Street (i ty: YZip: <br /> Tank Id(if any) Gross Capacity: Yr Installed: Tank Mfg.: Tank Model: <br /> 6I*v <br /> Tank Configuration(long.dimen.) Dimensions: <br /> odze w ❑Vertical Rectangular Tanks: ' I.:IGjrW: Y3 H:� <br /> lindrical Tanks: Len Dimn. <br /> Secondary Conbdnment <br /> Tank: XbRegral DW Tank❑Containment berm [] Controlled DraidSump ❑ None <br /> [] Other(description)_,__ <br /> Piping: ❑ Integral DW Piping❑Containment berm ❑ Controlled Drain+sump [] None <br /> [] Other(description) <br /> Tank Primary Containment Material E eel ❑ Fiberglass ❑ Other Wall Thickness_ <br /> Tank Secondary Containment Material Steel El fiberglass ❑ other Wall Thickness_ ❑None <br /> Piping Primary Containment Material PR Steel [] Fiberglass ❑ other Diameter(in.)If <br /> Piping Secondary Containment Material ❑Steel ❑ Fiberglass ❑ Other_ _Diameter(m,)_ ❑Noce 3 <br /> Descrip tion/Cam meats: <br /> Other Equipment <br /> []Pump,Internal(type,size) ❑Pump,External(type,size) <br /> ODay Tank ❑Drain Table ❑Filter Crush []Other---- ❑E•lectronic Monitor(MfgJ Model) <br /> DeseriptionlCon ments: <br /> Dwg's Available? ❑ Yes No G Tank inside Building or Covered? Leak Test or Inspection Avail? <br /> Dwgp ❑ Yes No ❑ Yes No If Yes,Datc <br /> placarldLabeling <br /> prose <br /> ❑ haunt ❑ No Smoking Product Description ®J n►1 0 Flazardous Waste I <br /> Absent *W Accton Stan Date P <br /> UL Std No.—Wy ❑ Other . <br /> Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwaterauy(@lnAratergtnr.Com A-1 <br />