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�. COUNTY NAME t <br /> SITE NAME: <br /> INSPECTION DATE: <br /> SfTEADORESS: Ow /C 7 CITY/STATE/ZIP / o <br /> CHANGES SITE/OWRJER/PERMIT7 YES NO TAW ( UV C Y 19 7H <br /> MFR/pERAIpT SUBMITTED TANK <br /> TYPE HSPECTION SITECOAWTER• 4• fB1000p1 D i ID XX`� p ID• <br /> PER 0 PER• PER• PER• <br /> EXP DATE EXP.DATE E%P.DATE E7�DATE <br /> OPEPAWNAL LANK MAJ. MIN. <br /> PERMIT 70 OPERATE 1 2 <br /> 1 1 <br /> CHANGE IN OONDMONS 70 OPERATE 3 t <br /> APPROVEO ODMSTAUCTpN 6 6 . <br /> VMITWN MONITOF*4 PROCEDURES 7 0 <br /> APPROVED MONITORWO SYSTEM 9 10 <br /> MONR0RIM0 SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY IJ 14 <br /> MDNRORINO RECORDS MAINTAINED 1s 16 <br /> ACCESS CASMQ SECURED 17 IB <br /> 11 ppm19 20 <br /> NVENTORY RECONCILIATION 21' 22 <br /> TANK OAUOINO 2321 <br /> APPROVED RESPONSE PIAN 25 26 . <br /> IMAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 2930 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTNORlZFO RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35. 36 <br /> CONDrtTONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38, 39 <br /> FLAMMABLE VAPORS REMOVED ap <br /> r ACCESS LOCATIONS SEALED fL A21 <br /> POWER DISCONNECTED a3 <br /> O+/NER/OPERATOR MONITORING .4 t51 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS j4F 47 <br /> PIPING 49 <br /> FLAMMABLE VAPORS REMOVED UNAUTHORIZED RELEASE 52 <br /> SAMPUNG 5t <br /> ANIMPROPER ABDONMENT 58 <br /> TRE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS IWST MMK O'7F.1 FOLLOWS'. . C.6 17A�Crb <br /> MkJOR 57 MINOR <br /> IOL5tH NO 59 <br /> V _ VIOL V10L <br /> ' <br /> PMAl IN LOCAL HEALTH DISTRI NSP p56L/ JELEy RE 0 <br /> POST OFFICC 13OX 2009 <br /> STOCKTON. CALIF. 95201 / <br /> N: ENVIRON. HEALTHES�t>Ilrt�t✓ REUL <br /> 77I,,a o. <br />