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COUNTY NAME <br /> SfTE NAME: J,p, 0 Prga "SPEC "DATE: <br /> SITE ADDRESS: 3 L _ Sc,0 7 CITY/STATE/ZIP S%l«/ <br /> CHANGES SITE/OWNER/PERMIT? YES NO. UN( TANK _. TANK IANK <br /> K*TVpERWSUBMITTED ID, p• D. ID• <br /> TYPE OF lt9PECTIONOOMPIfTER---JS <br /> • PER♦ PER PER♦ PER <br /> /a EXP.DRE EXP.WE EXP.DVE EXP.DRE <br /> OPERATIONAL TANK I <br /> PER1.fT TO OPERATEam"OE W CONDITIONSTO OPERATEAPPROVED CONSTRUCTIONWRITTEN MONRORINO PROCEDURESAPPROVED MONRTORIINO SYSSTEM MOR1TORtiG SYSTEM APPROVED MONROR FREOUENCY MOWTORINO REOORDS MAIfDJWD Q:' <br /> ACCESS CASNO SECURED 1171 1181 <br /> PIPM J191 1201 <br /> NVVENIORY RECONC4-1ATION 1211 1221Y,,I— <br /> IAW GALIGN40 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZEo RELEASE OCCURRENCE 27 2e <br /> SAAWLNG 29' 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAIJTIROR2ED RELEASES REPORTED eJ 54 <br /> SAFETY HAZARD SS <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIOUAL <br /> ., FLAWAAABLE%PPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 411 42 <br /> POWER OLSCONNECTED 43 <br /> OWNER/OPERATOR MONfTORING M 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESCUAL MATERIALS 461 47 <br /> P 48 49 <br /> FLAA4AABLE%NPO RS REMOVED 50 <br /> UNAUT"ORdZEO RELEASE 51 62 <br /> SAMPtM 5.3 64 <br /> N.IPRoPER AB/WOONR.IENT 55 6a <br /> THE WAKED ITEMS REPRESENT VIOlJ1T10 4 AND MUST BE GOR CTED AS <br /> SYSTEM STATUS 11AVaT VAIW OKI FOLLOWS: <br /> 57 68 59 <br /> ❑ NO <br /> � 0 VVm❑ <br /> Pg6KPN LOCAL HEALTH DISTRINSP: RECEIVED BY: <br /> POST OFFICC BOX 2009 <br /> `TTOCKTON. CALIF, 95201 ITM F. csCK <br />