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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0514476
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COMPLIANCE INFO_PRE 2019
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Last modified
9/30/2020 1:16:49 PM
Creation date
9/29/2020 3:59:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514476
PE
2229
FACILITY_ID
FA0010973
FACILITY_NAME
JIFFY LUBE #2322
STREET_NUMBER
500
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06208002
CURRENT_STATUS
01
SITE_LOCATION
500 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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RECEIVEL <br /> JAN 2 6 2015 <br /> ENVIRONMENTAL <br /> 2.2 Engineer's Review and Certification [CCR§66270.11(d)] UCo' rU nco40T4AC411 <br /> This certification only constitutes an expression of professional opinion regarding those facts or findings which <br /> are the subject of the certification, and does not constitute a warranty or guarantee, either expressed or implied. <br /> [California Business and Professions Code Section 8770.6] <br /> The undersigned State of California registered professional engineer(herein referred to as the "Engineer")attests <br /> that the tank system has sufficient structural integrity and is acceptable for the transferring and storing of <br /> hazardous waste [CCR §66265.192(h)(1)]. This certification is valid upon properly addressing emergency <br /> venting, signage and leakage associated with the tank, piping adjacent to the tank,and any other items called out <br /> in Section 4 Recommendations. <br /> The undersigned Engineer, whom is trained and experienced in the proper installation of tank systems, has, or <br /> someone under his direct supervision has, inspected and documented the system or component for the presence <br /> o£ weld cracks or breaks; scrapes of protective coatings; corrosion; any structural damage or inadequate <br /> construction or installation [CCR§66265.192(k)(9)]. All new tanks and ancillary equipment has been inspected <br /> for tightness prior to being placed in use. The results of the inspection(s) have been documented in this <br /> assessment. Tank system integrity and/or leak test requirements are in compliance with all local requirements <br /> known at the time of assessment [CCR§66265.192(k)(10)]. <br /> The undersigned Engineer is familiar with the requirements of Title 22 California Code of Regulations (CCR) <br /> Chapter 15, Article 10, Section 66265.192 0) and (k) and has, or someone under his supervision has, visited and <br /> inspected the facility. The undersigned Engineer attests that this Plan has been prepared in accordance with good <br /> engineering practices and in a manner consistent with the aforementioned CCR citations. <br /> CA <br /> Printed Na74gineer <br /> Registration No. State <br /> / / <br /> Signature V Date Q�� �S.BL,gN�� <br /> c M <br /> 2.3 Tank System Assessment Preparer NO. C 6,411 a <br /> Exp. <br /> NES, Inc. prepared this Assessment for the sole use of Broadbase, Inc. If <br /> you have questions regarding this Plan, please contact the undersigned atJ'� C/V\\- <br /> (916)353-6360. 9rFOf CA►1F��� <br /> John Balobeck Principal <br /> Printed Name Title <br /> 1/23/15 <br /> Signature Date <br /> Ila=ardous Waste Tank System Assessment and Certification Page 3 of 6 NES,Inc. <br /> Broadbase,Inc. NESJob#276.EC1957.00 <br /> Lodi,California <br />
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