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+. COUNTY NAME ♦ ' U <br /> SITE NAME. C D t,3-r/�J E"TAL G p tov I N . INSPECTION DATE: <br /> SITE ADDRESS. is O S Rpm gOf- �� h1 CITY/STATE/ZIP <br /> 9S,Z u3 <br /> CHANGES GES SITE/OWNER/PERMIT? YES NO TANKITANK Z TANK TANK <br /> MFR/PERMIT SUBMITTED ID f # D• ID♦ ID* <br /> TYPE OF� � SITE COMPUTER♦ PER f PER f PER f PER f <br /> EXP.DATE EXP.DATE EXP.GATE EXP.DATE <br /> OPERATIONAL TANK MAJ.I MIN. <br /> PERMIT TO OPERATE 1 1 121 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 8 <br /> WRITTEN MONRORING PROCEDURES 7 B <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 id <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17118111 <br /> i PIPING 191 1201 <br /> INVENTORY RECONCILIATION 21' 22 <br /> TANK GAUGING 23 2q <br /> APPROVED RESPONSE PLAN 25 261 1 <br /> UNAUTHORIZED RELEASE OCCURRENCE 271 261 1 <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 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 1421 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 145 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 48 49 . <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 511 52 <br /> SAMPLING 531 54 <br /> IMPROPER ABANDONMENT 551 56 <br /> THE MARKED ITEMS RWRESENT VIOLATIONS AND M ST BE CORRE D AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: aA\ AAp- ( awAac <br /> 57 58 59 <br /> NOL MVIOL ❑ VIOL❑ . <br /> S R961t�41N LOCAL HEALTH DISTRI NSP:w,p RECEIVED <br /> POST OFFICE BOX 2009 <br />. STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH TITLE: (ts PHONE: BECK. <br /> rvme� O� <br /> s <br />