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COUNTY NAME • <br /> SITE NAME: CI INSPECTION DATE: 1 <br /> SITE ADDRESS: I CRY/STATE/ZIP R <br /> Ir ' <br /> CHANGES SITE/OWNER/PERM[T7 YESNO TANK550 W 0. TANK <br /> GATE <br /> TANK TANK <br /> WR/PERMIT SUBMITTED 1)* 1 ID• ID I ID <br /> TYPE OF INSPECTION SITE COMPUTER• <br /> I 11 l' PER♦ PER• PER • PER• <br /> TQ rd< � O L, l s q _I EXP.DATE EXP. EXP.DATE EXP.DATE <br /> OPEPATIONAL TANK MAV. MIN <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN OONOITIONS TO OPERATE 5 4 <br /> APPROVED OONSTRUCTION 6 9 <br /> WRITTEN RITN MONTORING PROCEDURES 7 B <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONfTORINO SYSTEM 11 12 <br /> APPROVED MONITOR FREOUENCY 13 14ME <br /> MONITORING RECORDS MAINTAO 151 16 <br /> 1 ACCESS CASINO SECURED 17 10 <br />{ PIPING 19 20 <br /> INVENTORY RECONCIUATINN 21' 22 <br /> TANK GAUGING 23241 1 <br /> APPROVED RESPONSE PLAN 251 261 , 1 - <br /> UNAUTHORIZED RELEASE OCCURRENCE 271 28 <br /> SAMPLING 29' 30 <br /> APPROVED TANK REPNRS 31 32' <br /> UNAUTHORIZED RELEASES REPORTED 3J 34 <br /> SAFETY HAZARO 35. 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 36. 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALEO 41! 42 <br /> POWER 04SCONNECTEO a3 <br /> OWNER/OPERATOR MONITORING 44, 45 i <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 4849 <br /> FLAMMABLE VAPORS REMOVED 50ME I <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 531 S4 <br /> IMPROPER ABANDONMENT 551 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS IMUST MARK ONE$ FOLLOWS: far7k fiyno,, <br /> MAJOR 57 MINOR 56 so <br /> NO <br /> VIOL ❑ VIOL- ❑ VIOL_ <br /> S R56QUN LOCAL HEALTH DISTRI NSP. q5 l�or� RECEIVED BY: <br /> POST OFFICE BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> A,TTN: ENVIRON. HEALTH TSE:, ur7rwm L/ PHONE: REGI <br /> 71,7,e7 0- <br />