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[� Q " California Self-Inspection Form for Business Plan <br /> �..., Fver better.' Hazardous Waste and Hazardous Materials (HWIHjv <br /> L.-Ii.n CI!Address: 5! in Z+ <br /> n(31 W( Cre�<<_ Ur spa c � � <br /> Location Code; Month and Year: <br /> 0 C� r�_ <br /> SECTION L HAZARDOUS WASTE TANK SYSTEM INSPECTION! (COM I T1=DAtt.Y) <br /> THIS SECTION TO BE COMPLETED BY RYDER FACILITIES THAT.STORE HAZAROW. ASTE IN ASTS AND GENERATE TANK SYSTEM ID; <br /> MORE THAN 270 GALS DF HAZARDOUS WASTE TYPIOALLY UOED OIL IN ANY,INQNTI1... <br /> (1) (2) .(4) (s) <br /> OVERFILUSPILL CONTROL - SYliTE111 FRE 1k OF LEAK06JECT14N SECONDAnY OONTAINMIENT IN - PIPESANDVALVE INSPECTED BY: <br /> EOLIIPM[NT IN GOOD CORROSION AND, PROORAMICgUIPMPNT', '.'GQ6D WORkiNo oRDER ANO PUMPS FREE OP LEAK! <br /> DAY WORKING anDEr1 NO VISIBLE DAMAGE VYORXING fi EE of�IA4TEI AND LV6UIO f AND IN ODOO CONORK)N (PRINT NAME) <br /> es a s U No <br /> 2 Yes ❑ No Yes❑ No 2f Yes❑No ZYes❑ No V Yes❑No <br /> 3 m Yes ❑No Yes❑ No aYes❑No 2rYes❑ No 49 Yes❑No riv <br /> 4 [�Yes❑No Q]Yes❑ No CdYes ❑No Yes❑No ['Yes[INo <br /> 5 Yes❑Na Yes❑No Yes❑ No In Yes❑No Yes[INo <br /> 6 Yes❑No Yes❑ Na Yes❑No Yes❑No Yes ❑No —5v <br /> es o es a <br /> es <br /> 9 96 Yes❑ No m Yes❑ No ❑Yes❑No i]Yes❑No [ZYes❑No (r <br /> 10 B Yes❑ No Qf Yes ❑ No ZI Yes ❑No ZYes❑No A Yes❑No <br /> 11 2rYes❑No VfYes ❑ No VYes❑No Yes❑No jo Yes❑No v <br /> 12 Yes ❑No Yes ❑No Yes❑No Yes❑ No 'Yes❑No C�v <br /> 13 Yes ❑ No ;?Yes❑ No 2rYes❑No ZYes❑ No L;�Yes❑No <br /> No s o <br /> 16 J0 Yes ❑ No Yes❑ No Yes❑No Yes❑No [ Yes❑ No <br /> 17 [n Yes ❑ No Yes❑ No Yes❑No Yes❑ No Yes❑No <br /> 18 Yes ❑ Na Yes❑ No Yes ❑No Yes❑ No Yes El av <br /> 19 Z Yes ❑ No Yes ❑No Yes❑No Yes❑No Yes❑No <br /> 20 Yes ❑ Na Yes❑ No Yes❑No Yes❑Na VTYes❑No EW <br /> YesLj YES Noa <br /> YkLfj No <br /> 23 Q(Yes❑ Na Yes❑ No Yes ❑No I�Yes❑No VYes❑No � <br /> 24 Yes❑ No ZYes ElNo Yes ❑No Yes❑No Yes❑ No 31v <br /> 25 Yes El No Yes❑ Na Yes ❑No Yes ElNo Yes ElNo v <br /> 26 V Yes❑No Yes ❑ No Yes❑No 96 Yes❑No Yes❑ No tl V <br /> 27 Yes ❑No Yes ❑ No Yes LrA ❑ No Yes❑No Yes ElNo <br /> e <br /> 30 ZYes ❑No Yes❑ No ,�Yes ElNo 2 Yes❑No Yes ❑ No <br /> 31 �Ycs ❑No V14Yes❑ No PlYes ❑No Yes❑No Yes❑No 1� <br /> COMMENTS CORRECTIVE ACTIONS TAKEN' <br /> Relentlon Perlod <br /> ES-47(06/2021)—Page 1 GI 2 He tndellnhely In the QUarledy Calllornlla HMBP Self Inspection For <br />