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n'd I CF <br /> COUNTY NAME r , <br /> SITE NAME: FTA L ! C' INSPECTION DATE: <br /> SITE ADDRESS: Cf TY/STATE/ZIP S 7K� C� S Z per' <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK I TANK TANK TANK <br /> MFR/PERMIT SUBMITTED ID• ID s ID a ID <br /> TYPE OF INSPECTION SITE COMPUTER♦ PER♦ PER♦ PER♦ PER <br /> G` S EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK MAJ. MIN. <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 8 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREOUENCV 13 14 <br /> MONITORING RECORDS MAINTAINED 15 • 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 10 20 <br /> INVENTORY RECONCILIATION 2C 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPnlNSE PLAN 251 26' <br /> UNAUTHORIZED RELEASE OCCURRENCE 271 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34' <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 3811111 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43' <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 i 47 <br /> PIPING 48 t49FLAMMABLE VAPORS REMOVED50UNAUTHORIZED RELEASE 51 SAMPLING 53 IMPROPER ABANDONMENT 55', <br /> THE MARKT ITEMS REPRESENT <br /> /VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:L �� `� <br /> 57 58 59 <br /> VIOL ® VIOL- ❑ VIOL- <br /> S <br /> IOLS Rh61�N LOCAL HEALTH DISTRI NSP: G+/A S RECEIVED BY: <br /> POST OFFICE✓ sox 2009 <br /> STOCKTON, CALIF. 95201 D,S <br /> N: ENVIRON. HEALTH TITLE: /� IPHON . RECK <br /> 7/17187 Qr <br />