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SITE NAME_ <br />COUNTY NAME 0 <br />INSPECTION DATE: <br />/3/;F 7 <br />SITE ADDRESS: 6 CITY/STATE/ZIP <br />CHANCES SITE/OWNER/PERMIT? YES NQ,/ <br />MFR/PERMIT SUBMITTED <br />TANK TANK TANK TANK <br />p q 0 r-, p <br />PER I PER I PER 0 PER <br />EXP. DATE EXP. DATE EXP. DATE EXP. DATE <br />TYPE OF INSPECTION SITE COMPUTER <br />Y5 <br />OPERATIONAL TANK <br />PERMIT M OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTROCT)ON <br />WRITTEN MON(TORM PROCEDURES <br />APPROVED MONITORING SYSTEM <br />Iv�tING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONCTORM RECORDS MAINTAINED <br />ACCESS CASINOS SECURED <br />PIPING <br />MIVENTORY RECONCIUATION <br />TANK GAUGING <br />APPROVED RESP(INSE PIAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />-- <br />MAJ. MIN. <br />1 2 <br />40 <br />3 4 <br />ACCESS LOCATIONS SEALED <br />6 6 <br />42 <br />7 j 8 <br />9 110 <br />OWNER/OPERATOR MONITORING <br />11 12 <br />45 <br />13 14 <br />15 1,,, 16 <br />Ii' <br />171 18 <br />18 20 <br />461 <br />21' 22 <br />PIPING <br />23 24 <br />49 <br />251 28 <br />50 <br />27 28 <br />UNAUTHORIZED RELEASE <br />29' 30 <br />52 <br />311 32 <br />531 <br />33 34 <br />IMPROPER ABANDONMENT <br />35, 36 <br />56 <br />37 <br />57 58 <br />TEMPORARY TANK CLOSURE <br />h REMOVAL OF RESIDUAL <br />38, 39 <br />I FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41! <br />42 <br />i POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44. <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />461 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPUNG <br />531 <br />1 54 <br />IMPROPER ABANDONMENT <br />55 1 <br />56 <br />SYSTEM STATUS (MUST MARK ONE) <br />57 58 <br />59 <br />MLA" MIN NO <br />VKX_ 2 ViC� ❑ VIOL ❑ <br />THE MARKED ITEMS REPRESE <br />AND MUST BE <br />R�61N LOCAL HEALTH DISTRI NSP: RE <br />POST OFFICE E30X 2009 <br />STOCKTON. CALIF. 95201 �� / / <br />N: ENVIRON. HEALTH TITLE: RECK <br />t <br />AS <br />mr/6/ 0- <br />