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COUNTY NAME • 3 <br /> F EEADDREESWQS- // <br /> . 1--eel �a C� "SPECR)NGATE:CRY/STATE/ZIP <br /> �0 �c� <br /> PEITMfT9 YES NO TANK tillrl( TANK <br /> W3PECTTON SRE COMPVfER a PDEA, 10* ID• ID• <br /> PER A PER <br /> EXP DATE ♦ PER <br /> EJR OATE EXP.DATE EV-DAZE <br /> OPEfLlT1pNA(,TJ4NK AAM. MIN. <br /> PETMAT TO OPERATE 1 2 <br /> CVIANGE IN OONOf )"TO OPEMTE J <br /> APPROVED OONSTTLcnoN 6 6 <br /> "In"MONITOPoNO PROCEDURES 2 8 <br /> APPROVED MONMR NG SYSTEM 9 10 <br /> MOMT(7RI40 SYSTEM t 1 t2 <br /> AP'PROYED MOWTOR FREOL*NCY 1314 <br /> MOM�RECORDS MANWrEO 15 16 <br /> ACCESS CASINO SECURED t2 18 <br /> PtP1FK1 Io 20 <br /> ""TORY REC0NC4IATION � Z2 <br /> 21' <br /> IAW GAIJ M r 21 24 <br /> APPROVED RESPfINSE PLAN 7S M <br /> ll <br /> ZE <br /> UNµ7TNOfKD RELEASE OCCUKtENCE 27 26 <br /> SAAMIL l 29, JO <br /> APPROVED UW REPAIRS JI 32 <br /> "WM4OWZED RELEASES REPORTED JJ 34 <br /> SAFETY HAZARD 35. 36 <br /> CONORIONS ABATED J7 <br /> I <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL JB, 39 <br /> FTAKAMABLE VMPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED I1, 42 <br /> POWER DISOONNECTEO u <br /> VIER/OPERATOR MONRTORINf` <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS P77 <br /> iN <br /> FZAMMABLE VAPORS REMOVED <br /> UNAUTFIORKZED RELE/SE SAMPLryp"PROPER ASANOONMENT <br /> T/f MARKEO REMS REPRESENT VIOLAT10Ns AND MUST BE CORRECTED AS <br /> SYS TFM sTATOS (MUST MARK f}+EI _ - <br /> FOLLOWS: L -fit - ._>, <br /> Kk4-)on 57 "NOR sa so <br /> VIS VIOL_ F-I V0 <br /> RF76l AN LOLL HEALTH DISIRI NSP RECEfvEo By,. <br /> POST OFFICC BOX 2009 <br /> STOCKTON. CALIF. 63201 <br /> PJTN: ENVIRON. HEALTH 1 : PHOFE BECK <br />