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Hazardous Waste Tank System January <br /> Written Assessment per CCR Title 22 <br /> Jiffy Lube Store#2322 500 E. Kettleman Lane, Lodi, CA 2020 <br /> This document was prepared Per California Code of Regulations Title 22 <br /> (22 CCR 66265.192, 193) for the hazardous waste tank system(s) at: <br /> Jiffy Lube Store #2322 <br /> 500 E. Kettleman Lane <br /> Lodi, CA 95240 <br /> Tank/system identification: Used Oil Tank, Used Antifreeze Drum, <br /> Secondary Containment Pit <br /> Date of inspection(s)/assessment: 1/22/20 <br /> This report consists of 25 pages <br /> 1 certify under penalty of law that this document and all attachments were prepared <br /> under my direction or supervision in accordance with a system designed to assure that <br /> qualified personnel properly gather and evaluate the information submitted. Based on <br /> my inquiry of the person or persons who manage the system, or those persons directly <br /> responsible for gathering the information, the information submitted is, to be the best of <br /> my knowledge and belief, true, accurate, and complete. I am aware that there are <br /> significant penalties for submitting false information, including the possibility of fine and <br /> imprisonment for knowing violations. <br /> John Strandberg, P.E. <br /> CH3755, M34499 <br /> Chemical, Mechanical <br /> 422 First St. <br /> Davis, CA 95616 <br /> Date stamped/signed- <br /> Strandberg Associates 1(866) 388-0404 john@strandbergassociates.com 1 <br />