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C COUNTY NAME . <br /> SITE NAME: INSPECTION DATE: <br /> SITE ADDRESS: CITYISTATE/ZIP <br /> s7I� C� 9�zo� <br /> CI•INJ(iE3 SITE/OWNER/ YE NO TAMC TANK yvp� <br /> MFR/PERMrT SLSMnM-- <br /> tyPe OF <br /> ft3PECT10NSTE I D I A I o I <br /> PER I PER 0 PER 0 PER <br /> o — / EXP OATE EXP.TWE EXP OA1E EXP 09E <br /> OPEPJ410NAL.TANK MAJ. MIK <br /> PERMIT TO OPERATE 1 21 1 <br /> OV44GE IN CONDMONS TO OPERATE J • <br /> APPA0VW jo+ a a <br /> WRRTEN MDNRORtq PROCEDURES T a <br /> APPROVED MOWTOR IND SYSTEM 910 <br /> MONnORM SYSTEM 11 12 <br /> APPROVED MONRROR FREOUENCY W 14 <br /> MONRTORINO RECORDS MA*fPJNEO Is 16 <br /> AOCESS CASND SECURED 17 le <br /> PIVQ 19 20 <br /> HVENIORTY RECONC0.UTION 21' 22 <br /> TANK�AGOQ 2324 <br /> APPROVFO RESPONSE PLAN 25 1# <br /> 26 <br /> UNAUTHOFAZEO RELEASE OCCURRENCE 27 261 1 <br /> SAMPUNO 291 301 1 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTR/0RIZE0 RELEASES REPORTED JJ 34 <br /> SAFETY KAZARO 35i J6 <br /> ' COFIOrTIONS ABATED 3 <br /> 7 <br /> 1 TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIOUAL 36. 39 <br /> _ RUMMADLE MPORS REMOVED W <br /> ACCESS LOCATIONS SEALEo 4 1! 42 <br /> POWER D4SCONNECTE0 V <br /> OWNER/OPERATOR MOMTpRING u. 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RE SIOUAL MATERIALS 461 47 <br /> PIPING 48 49 <br /> U <br /> FMMABLE VAPORS REMOVED so <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPJ J S4 <br /> IMPRPER ABANppME NT , 7 777 <br /> 55 58 <br /> OfJ <br /> THE MARKED ITEMS <br /> S REPRESENT VgU1TgN MUST BE CORRECTED AS <br /> SYSTEM STATUS(MI/ST MARK ONEI FOLLOWS, ,,/_V Z 0 <br /> MA.)OR ST MINOR 58 <br /> Vx)IVIOL NO 59 wL <br /> VIOL <br /> P MR4 4 LOCAL HEALTH DISTRI NSP ka C RECEIVED BY: <br /> POST OFFICE BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> A,TTN: ENVIRON. HEALTH TTnE: 15 PHONE: °EO <br />