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COUNTY NAME <br /> SITE NAME: % INSPECTION DATE: <br /> SITE ADDRESS: 7 ,,// / CITY/STATE/ZIP / <br /> - <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK D(esmL TANK Vie ' {W TANK TANK <br /> MFR/PERMIT SUBMITTED ID• n I 00 o S o o <br /> TYPE OF INSPECTION SITE COMPUTER• PER♦ - PER• - PER♦ PER <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK 129� <br /> MIN. <br /> PERMIT TO OPERATE 2 <br /> CHANGE N CONDITIONS TO OPERATE 4 <br /> APPROVED CONSTRUCTION 8 <br /> WRITTEN MONITORING PROCEDURES 8 <br /> APPROVED MONITORING SYSTEM 10 <br /> MONITORING SYSTEM 121 k <br /> APPROVED MONITOR FREQUENCY 14 ', <br /> MONITORING RECORDS MAINTAINED 161 1 <br /> ACCESS CASING SECURED 181 1 <br /> { PIPING 201 1 <br /> INVENTORY RECONCIUATION 22 <br /> TANK GAUGING 24 <br /> APPROVED RESPQNSE PLAN 26' - <br /> UNAUTHORIZED RELEASE OCCURRENCE 28 <br /> SAMPLING 3OAPPROVED TANK REPAIRS 32UNAUTHORIZED RELEASES REPORTED 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! 42' <br /> POWER DISCONNECTED M 43 <br /> OWNER/OPERATOR MONITORING 44, 451 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 46 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 t 52 <br /> SAMPUNG 53 t54 <br /> IMPROPER ABANDONMENT 55' S8 �� <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK <br /> IONE I FOLLOWS: <br /> 57 58 59 <br /> VIOL ❑ MINOR VIOL VIOL❑ <br /> S WW6 UN LOCAL HEALTH DISTRI NSP. RECEI D BY,, , <br /> POST OFFICC BOX 2009 <br /> STOCKTON. CALIF. 95201 ''-�- <br /> N: ENVIRON. HEALTH TfttNE: BECK' <br /> -� "Ts ZS// <br />