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UNTY NAME • S . � <br /> SITE NAME: � � /l <br /> 1� INSPECTION DATE: <br /> SITE ADORESS:aSOO W Lc) ' Cts CRY/STATE/ZIP l o4, Q r21{b <br /> CHANCES SITE/OWNER/PERMR? YES TANK JEXP. <br /> K TANK <br /> MFR/PERMR SUBMITTED _ TANK <br /> TYPE OF NSPECRON SITE COMPUTER• - ID. /71 IDPER. . PER 0 <br /> PER.EXP.DATE DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK MAJ. MIN. <br /> PERMIT 70 OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3-7 <br /> APPROVED CONSTRUCTION 68 <br /> WRITTEN MONITORING PROCEDURES 7 B <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM <br /> 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCIUATION 21' 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 28 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 2B <br /> SAMPLING 29 i 30 <br /> APPROVED TANK REHYVRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35. 38 <br /> CONOMONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 3B, 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44, 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING Q 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 111 52 <br /> SAMPLING 531 54 <br /> IMPROPER ABANDONMENT 5.51 56 <br /> THE MARKS MS REPRESS VOILA MID BE AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLOWS: <br /> 59 <br /> MAJOR a MINOR a NO <br /> VlDL VIOL VIOL LXJ <br /> IRMAUN LOCAL HEALTH DISTRI NSP: p C RECEIVED BY: <br /> POST OFFICE BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> Aj7N: ENVIRON. HEALTH TTLE*L BECK: <br />