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`-�SITE NAME: COUNTY NAME ♦ 3 <br /> Q INSPECTION DATE:�� 7�7 <br /> SFTE ADDRESS: / off CITY/STATE/ZIP Z— <br /> O-JAMES SITE/OWNER/PERMIT? NO TANK TANK TANK TANK <br /> MFR/PERMIT SUBMITTED_ <br /> TYPE OFMISPECiION SITE COMPIfTER♦ D• / ID♦ .D• D• <br /> PER/ PER• PER♦ PER• <br /> uT 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 N6 8 <br /> TE <br /> WRITN MONITORING PROCEDURES N 7 8 <br /> APPROVED MONITORING SYSTEM � 0 10 <br /> MONITORING SYSTEM OPeKATIoAIAL�E 11 12 <br /> APPROVED MONITOR FREOUENCY&A/ 13 14 <br /> MONITORING RECORDS MMNTAINEDE 15 18 <br /> @A ACCESS CASING SECURED/�I 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION E 21' 22 <br /> TANK GAUGING E 23 24 <br /> APPROVED RESPONSE PLANK 25 28 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 2B <br /> SAMPLING 29: 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 3< <br /> SAFETY HAZARD 35, 38 <br /> CONDITIONS ABATED 37 <br /> k TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL F381 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41! 42 <br /> L POKER DISCONNECTED 43 <br /> ONNER/OPERATOR MONITORING 44, 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 1 47 <br /> PIPING 48 1 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTTIORIZED RELEASE 511 52 <br /> SAMPLING 531 54 <br /> IMPROPER ABANDONMENT 551 58 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 5s 59 — <br /> vm VIOL ❑ VIOL❑ Z <br /> ' QW6 UN LOCAL HEALTH DISTRH NSP: /(�J'np L RECEIVED BY: <br /> POST OFFICE BOX 2009 <br /> Y STOCKTON. CALIF. 95201Al w" <br /> .AJTN: ENVIRON. HEALTH TITLE: '5�k(IVR--t AW PHONE: BECK <br /> „041 0. <br />