Laserfiche WebLink
Model <br /> Tank and Secondary Containment <br /> Assessment Document <br /> This document was prepared for: San Joaquin County <br /> Company name: San Joaquin County Household Hazardous Waste <br /> Consolidation Facility <br /> Address: 7850 RA. Bridgeford Street <br /> City, California ZIP : Stockton CA 95206 <br /> Tank/system identification: Used Motor Oil <br /> Date of inspection(s)/assessment: 10/6/2017 <br /> This re ort consists of pages. <br /> certify under penalty of law that this document and all attachments were prepared under my <br /> direction or supervision in accordance with a system designed to assure that qualified personnel <br /> properly gather and evaluate the information submitted. Based on my inquiry of the person or <br /> persons who mange the system, or those persons directly responsible for gathering the <br /> information, the information submitted is, to be the best of my knowledge and belief, true, <br /> [;;ccurate, and complete. I am aware that there are significant penalties for submitting false <br /> mation, including the possibili!y of fine and imprisonment for knowing violations. <br /> Engineer's name Jordan Baldwin <br /> PLicense Number C71646 K. e �■'��, <br /> License Type Civil Q Q° '0�� <br /> Address of engineer Stamp an ° system <br /> City, State Zip 2522 Grand Canal Blvd,#14 meets i 71x)46 ments <br /> Stockton, CA 95207 <br /> �r 0tv1L �P <br /> Inspector name (if supervised by OF— <br /> assessor above) <br /> Date stamped/signed: 10/19/2017 <br /> San Joaquin County HHW Used Motor Oil <br /> 1 <br />