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Tank and Secondary Containment <br /> Assessment Document <br /> This document was prepared for: <br /> Company Name: 3 B's Truck&Auto Plaza <br /> Address: 14749 N. Thornton Rd. <br /> City, California ZIP: Lodi, CA 95242 <br /> Tank/system identification: <br /> Used Motor Oil <br /> UL Listed Double Wall Steel Tank <br /> Date of Inspection(s)/Assessment: <br /> 1/16/2020 <br /> This report consists of 15 pages <br /> I 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 manage 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 /> accurate, and complete. I am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for knowing violations. <br /> Engineer's Name: Michael W. Smith y r - <br /> License Number: R.C.E. 44590 ;r'l <br /> License Type: Civil ,. <br /> Address of Engineer: 4. N. Main St. <br /> Lodi, Ca 95240 <br /> Date Stamped/Signed <br /> 3 B's Truck Auto Plaza Tank/Tank System Identification: Used Motor Oil <br />