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0 <br /> 0 <br /> Cid <br /> HAZARDOOUS WASTJPJ TANK SYSTEM Y INSPECTION <br /> may ® <br /> V�lt� � 1 � k ( �'£�!Cl C {AS ]REQUIRED B't1 �22 CCi266265.195j IV�Onth: ✓t✓ P�'� M �K. r' <br /> Business Name: Year:, 2a 1 g <br /> Business Address: 2. 3 tao Co. s oVS.4. a:himt.:\�G b 01 (o&P Tanlc Sysfem l®: <br /> D ayo Are pipes, valves and pumps boo en tanks have at Is leak detection program/ Inspected �"onllClent5/�orreci]tve <br /> Is 2 containment free Is the system free of corrosion free of leaks and in good p o <br /> least 2 ft. of free board . equipment working. by actions taken <br /> A of waste and liquid? and evident damage? <br /> condition. <br /> y YES <br /> YES NO YES NO YES NO or N/A NO YES NO <br /> 1 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> s <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> 21 <br /> 22 <br /> 23 <br /> 24 <br /> 25 <br /> 26 <br /> 27 <br /> 28 <br /> 29 <br /> 30 <br /> 31 <br /> 22 <br />