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1 0 0 <br />Chase Chevrolet Waste Oil& Waste Antifreeze Tank Assessment (2010) <br />U <br />I <br />11 <br />C� <br />FJ <br />r <br />11 <br />I <br />11 <br />Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwatergLly@rwaterquv.com <br />� 1 29 <br />Integrity Assmment Inspection Checklist <br />Oemral Information <br />Name: <br />Facility Contact:No.: <br />Date: <br />A0 <br />7 <br />Site Address- Tank Con Wits: <br />Street c JCiiy:Zil-AL L <br />Taok Id (if any) Gross Capacity: Vr Instal Tank Mfg.: Tank k Mod d": <br />Tank Configuration (long. di n.) mewslions. <br />Rectangularl'anks: 1,40K�'W: I]l: <br />DHmim,Wal (Ne"ical Cylindrical Tanks: Len -h, Diam. <br />Seco"daq Containment <br />Tank: El Integral DW Tank A'Containment berm 0 Controlled DraiwSutnp 11 None <br />171 Other (descriplion)Xrve%fr4/flib. <br />14of --A4 <br />Piping- 0 Into gral DW PipjnAtt?�,Aainffwft"rtnl'6 7C*0'n1I 011e OrAISUMP NO <br />_W �fh!r Wcwript,ts i � ACO&PO — of 04 -OPO <br />Tank Primary Containment Material B<10 0 Fiberglam 0 Othcr­ Wall 1-hitknem, <br />Tank :Secondary Containment Material B51t-cl 0 rilwrglass 0 father Walt'llhickncss. El None <br />Piping Primary Containmeng Material Ell<vel El Fibergims 0 Ottki Di~er (in.) <br />Piping Secondary C'n"tainment Material CI Steel 0 Fiberglass None <br />111escriptionlC'oaa stents <br />Other Equipment <br />El Ihimp, I nwMa I (type, 5 R3 Pump, External (type. si xv) <br />E]Day lank ElDrain Table 0Fiher(,'xu%b 00rher DElcvtonic Monitor (Mfg/ Model)­ <br />DescriptionlComments.--.— <br />In tion Avail? <br />Dwg's Available? 0 Y- No is Tank in—side Building or Covered7 I elk Test or " <br />A <br />Y y <br />llws U cs 0 No 0 ys� No If Yes, Date <br />Tin—ca—ri-, Labeling <br />Am Ale <br />No SmAing �A Product Dncription__ J3 HwArdous Waste <br />> <br />eikrseaat< dA 1-1 W Accunt Start Due El t A, Std No 0 Otber-- <br />Strandberg Associates 1(866) 388-0404 (650) 329-8918 rwatergLly@rwaterquv.com <br />� 1 29 <br />