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�f der California Self-inspection Form for Business Plans, <br /> Everbetfft'- Hazardous Waste and Hazardous Materials (HW/HM) <br /> Location Address: 1 City State ZIP <br /> Cis 45 <br /> Location Code: I Month and Year. <br /> 10-7 r <br /> SECTION I: (COMPLETE DAILY) <br /> HAZARDOUS WASTE TANK SYSTEM INSPECTIONS <br /> THIS SECTION TO BE COMPLETED BY RYDER FACILITIES THAT STORE HAZARDOUS WASTE IN ASTS AND TANK SYSTEM ID: <br /> GENERATE MORE THAN 270 GALS OF HAZARDOUS WASTE TYPICALLY USED OIL IN ANY MONTH. <br /> (1) (2) (3) (4) <br /> SECONDARY PIPES AND VALVE PUMPS LEA(DETECTION <br /> CONTAINMENT SYSTEMS OPEN TANKS HAVE <br /> FREE OF <br /> CORROSIDNAND FRS SAND AT LEAST Z 1=r OF PROGRAM INSPECTED BY: <br /> DAY WASTE AND LIQUID NO VISIBLE DAMAGE IN GOOD CONDITION FREE BOARD WORKING/EQUIPMENT (PRINT NAME) <br /> 1 ❑Yes❑No ❑Yes ElNo ❑Yes[INo [IYes[INo ❑Yes❑No <br /> 2 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑ <br /> 3 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑YeV0 No <br /> 4 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No RIes❑No <br /> 5 ❑Yes❑ No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 6 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑ ❑Yes❑No <br /> 7 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes oNo ❑Yes❑No <br /> 8 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Y s❑No ❑Yes❑No <br /> 9 ❑Yes❑No ❑Yes❑No ❑Yes❑No Yes❑No ❑Yes❑No <br /> 10 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 11 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 12 ❑Yes❑No ❑Yes❑No ❑Yes C/o ❑Yes❑No ❑Yes❑No <br /> 13 ❑Yes❑No ❑Yes❑No ❑Yes No ❑Yes❑No ❑Yes❑No <br /> 14 ❑Yes❑No ❑Yes❑No ❑ s❑No ❑Yes❑No ❑Yes❑No <br /> 15 ❑Yes❑No ❑Yes❑No A 7f Yes❑No ❑Yes❑No ❑Yes❑No <br /> 16 ❑Yes❑No ❑Yes❑JA PV❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 17 ❑Yes❑No ❑Yes❑qotX4 ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 18 ❑Yes❑No ❑Yes ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 19 ❑Yes❑No ❑Yes No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 20 ❑Yes❑No ❑Y ❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 21 ❑Yes❑Na Wes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 22 ❑Yes❑No Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 23 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 24 ❑Yes❑N ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 25 ❑Yes o ❑Yes❑No ❑Yes❑No El Yes❑No ❑Yes El No <br /> 26 ❑Ye Na ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> ❑Yes❑No <br /> 27 [:I/es❑Na ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 28 Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 29 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 3 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No <br /> 1 ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑No ❑Yes❑ND <br /> COMMENTS l CORRECTIVE ACTIONS TAKEN: <br /> Retengon Period. Indefinitely <br /> ES47(0912019)—Page 1 of 2 File Indefinitely in the Quarterly California HMBP Self Inspection Fonn folder <br />