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COUNTY NAMF i G. , f <br />SRE NAME: f <br />INSPECTION DATE: <br />AC, -1 z,J � V—I <br />SITE Aa0RES5: <br />I1f2(x ecu Irl <br />STsze&r <br />CITY/STATE/ZIP <br />`J },IV. C� 952oS <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO TANK o 1 <br />TANK LANK TANK <br />MFR/PERWT SUBMRTED <br />D • io uoobo I <br />D • D • D • <br />OF INSPECTION SITE CUMPL7TER • <br />PER • <br />PER • PER • PER • <br />!TYPE <br />-F/ IO <br />rIJV D <br />EXP. DATE <br />EXP. DATE EXRONE EXP. DATE <br />OPERATIONAL TANK <br />MM MIN <br />PERMNT TO OPERATE <br />t <br />2 <br />CHANGE N OONDRIONS TO OPERATE <br />31 <br />141 1 -- <br />APPROVED CONSTRUCTION <br />6 <br />6 <br />WRITTEN MONTORINO PROCEOURES <br />7 <br />B <br />- APPROVED MONRO(*Q SYSTEM <br />0 <br />t0 <br />MONiORMq SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREOUENCY <br />13 <br />14 <br />MONITORING RECORDS MANTANED <br />15 <br />18 <br />ACCESS CASING SECURED <br />17 <br />16 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21' <br />22 <br />TANK GAUGNO <br />2J <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />261 1 <br />SAMPLING <br />29' <br />JD <br />APPROVED TANK REPAIRS <br />Jl <br />32 1 <br />UNAUTHORIZED RELEASES REPORTED <br />JJ <br />34 <br />SAFETY HAZARD <br />75� <br />36 <br />CONDITIONS ABATED <br />J7 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />36 <br />J9 <br />FLAMMABLE VAPORS REMOVED <br />140 <br />ACCESS LOCATIONS SEALEDdl <br />d21 <br />POWER DISCONNECTED <br />43 <br />CV ER/OPERATOR MONITORING <br />N, <br />d51 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESI(x1AL MATERIALS <br />dfi <br />d7 <br />PPNG <br />W <br />d9 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />5l <br />52 <br />SAMPLING <br />5J <br />Sd <br />IMPROPER ABANDONMENT <br />55' <br />56 <br />T�:M=ARKEDREPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MMK ONEI <br />��C % <br />57 56 <br />59 <br />M,k)OR WIN <br />VOL. ® VIOLOR . ❑ VIOL <br />❑ <br />' R56QUN LOCAL HEALTH DISI <br />NSP <br />A�C✓ Tvtey <br />RECEIVED 9Y: <br />POST OFFICG BOX 2009 <br />STOCKTON. CALIF. 95201 <br />TITLE: / NTiqjr-/AA/ <br />PHONE <br />CK <br />V-JTN: ENVIRON. HEALTH <br />