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tF! q <br /> E SITE NAME. COUNTY NAME • J/ <br /> INSPECTION DATE: <br /> SITE ADDRESS /63 � � CRY/STxTE/ZIP <br /> ANG <br /> CHES SITE/OWNER/PERMrr? YES NO TANK �K IANK <br /> MFR/PERMIT SUBMITTED DDTANI( <br /> TV tw%l" SITE OOMPIlTEJi• ♦ �!'i • D I D• <br /> i PER 0 PER i PER• PER• <br /> EI.DATE Exp QRE Elm DRE &7 <br /> TADATE <br /> OPERATIONAL NK MAJ. MIKPEMV TO OPERATE 1 2 <br /> CNANOE IN CONDRgNS TO OPERATE <br /> APPROVED CONSTRUCTION N 6 e <br /> WRITTEN MONI1OFWQ PROCEDURESAI 7 e <br /> APPROVED MONRORlq SYSTEM E 9 t0 <br /> MONf10F71N6 SYSTEM a42AncwAL—E. 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONRORINO RECORDS MA9NTAMED 6 15le <br />.-y ACCESS CAaSrNO SECURED N 17 Ie <br /> RHt �b 19 20 <br /> "NTORY RECONCUATION F 21' 22 <br /> TAw GAUORNO E 2324 <br /> APPROVED RESPONSE PLAN N 25 26 <br /> U`1+A+UR+OaZED RELEASE OCCURRENCE 27 2e - <br /> sAPtNG 29, JD <br /> APPROVED TAM(REPAIRS &3 � <br /> J2 <br /> UNAUTHORIZED RELEASES REPORTED JN <br /> SAFETY HAZARD 35, 36 <br /> CONOMONS ABATED J <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL JB. <br /> FLAMMAME%*PORS REMOVED .p J9 <br /> ACCESS LOCATIONS SEALED 41! 42 <br /> POWER DISCONNECTED <br /> U <br /> CWVNER/OPERATOR MOMTORING .. 45i <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS N6 1, .7 <br /> PIPING .B .9 <br /> FLAMMABLE VAPORS REMOVED 5p <br /> UNAUTHORIZED RELEASE 511 52 <br /> SAMPLING 5354 <br /> IMPROPER ABANDONMENT 55 58 <br /> THE MARKED S REPRESENT TONS BE CORRECTED <br /> SYSTEM STATUS IMI7$1 MARK ONEI I D DOD <br /> FOLLOWS <br /> so <br /> MAJOR 57 MINOR NO •. <br /> VIOL. ElNO <br /> VKX- V _ V <br /> ' RgdKN LOCAL HEALTH DISTRI NSP RECEIVED BY: <br /> POST OFFICL' BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH TM-E:& PHONE RECK <br />