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Ry qr- California Self-inspection Form for Business Plans, <br /> IkZEver better" Hazardous Waste and Hazardous Materials (HW/HM? <br /> Location Address: <br /> City Slate Zip <br /> 3433 la„c tic c v,-c k, D,,- <br /> Sieck4' cry+ 9sZ A15— <br /> Location Code: Month and Year: <br /> SECTION I: HAZARDOUS WASTE TANK SYSTEM INSPECTIONS (COMPLETE DAILY) <br /> THIS SECTION TO HE COMPLETED HY RYDER FACILITIES THAT STORE HAZARDOU9 WASTE IN ASTS AND GENERATE TANK SYSTEM ID: <br /> MORE THAN 270 GALS OF HAZARDOUS WASTE TYPICALLY USED OIL IN ANY MONTH. <br /> (1) (2) lip (4) c5r <br /> QVFRFILL/SPILL CONTROL SYSTEM FREE Of LEAK DETECTION SECONDARY CONTAINMENT IN PIPES AND VALVE INSPECTED BY: <br /> EOUIPMENT N GOOD CORROSION ANO PROGRAMIEQUIPMENT 0000 WORKING ORDER AND PUMPS FREE OF LEAKS <br /> DAY WORKING ORDER NO VISIBLE DAMAGE WORKING FREE OF WASTE AND LIQUID AND IN GOOD CONDfr ION (PRINT NAME) <br /> 1 Yes❑No Yes❑No Yes❑No Yes❑No ®Yes❑No <br /> 2 Yes❑No IPYes❑No 91 Yes❑No Yes❑No 1PYes❑No <br /> 3 Yes❑No El Yes❑No M Yes❑No Yes❑No Yes❑No <br /> 4 [ Yes❑No Yes❑No 1p Yes❑No Yes❑Na E4Yes❑No <br /> 5 `❑Yes❑No Yes❑No Yes❑No Yes❑No Yes❑No <br /> Yes F1 No <br /> 7ki-ES <br /> 8 Yes❑No CRYes❑No Yes❑No Yes❑Na Yes❑No <br /> 9 Yes❑No F Yes ElNo P Yes[INo Yes❑No Yes❑No <br /> 10 Yes❑No Yes❑No Yes❑No Yes❑No Yes❑No <br /> 11 Yes❑No qYes0No Yes❑No qYes❑No Yes❑No <br /> 12 ip Yes❑No Yes❑No Yes❑No 'e Yes❑No EP Yes❑No <br /> 14 es o <br /> 15 j Yes❑No RYes❑No Yes❑No CA Yes❑No qq Yes❑No <br /> 16 Yes❑No EQ Yes❑No Yes❑No Yes❑No Yes❑No <br /> 17 IR Yes❑No MYes❑No Yes❑No Yes❑No Yes❑No <br /> 18 Yes❑No Yes❑No P Yes❑No [ Yes❑No Yes❑No <br /> 19 Yes❑No [ Yes❑No Yes❑No Yes❑No Yes❑No <br /> 22 Yes❑No [�fes❑No [ Yes❑No [�Yes❑No Yes❑No <br /> 23 EP Yes❑No I1 Yes❑No Qj Yes❑No Yes❑No Yes❑No vu <br /> 24 11 Yes❑No M Yes❑No m Yes❑No Yes❑No Yes❑No <br /> 25 IlYes❑No [9Yes❑No Yes❑No 10 Yes❑No Yes❑No <br /> 26 AS-Yes❑No [0 Yes❑No Yes❑No P Yes❑No Yes❑No U <br /> No Y r329 Yes ElNo Yes[INo Yes❑No Yes❑No Yes❑No <br /> 0 4P Yes❑No [ yes❑No Yes❑No I$Yes❑No k Yes❑No <br /> COMMENTS 1 CORRECTIVE ACTIONS TAKEN: <br /> Retention Period: IndeRniteiy <br /> ES47(0612021I-Page 1 of 2 File Indefinitely In the Quarterly California HMSP Self Inspection Form Folder 5.2 <br />