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PoNTY NAME • <br /> NAME: K�" INSPECTION DATE: 1,2 - `i f- <br /> Fm ADDRESS. IOI6 S, �9✓/LSati l�V " c"/STATE/IJP <br /> ES SITEIONMERIPERmm YES NO# TANK 171NK TANK TANK <br /> pERMrr SUBMITTED DO q• ID 0 ID• <br /> OF M9PECT10N SITE WAVIER• _ PER 0 PER I PER 0 PER• <br /> 12 C S ENP.DATE EXP.DATE IEXP.DOCrE IE)(P.DffE <br /> OPERATIONAL TANK MAJ. MW <br /> PERMIT TO OPERATE 1 2 <br /> CKgM IN CONDITIONS TO OPERATE 31 41 1 <br /> APPROVED CONSTRUCTION 51 61 1 <br /> WRITTEN MONnOFTNO PROCEDURES 7 1 S <br /> APPROVED MOMTORING SYSTEM al 101 F <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREOUENCY 13 14 <br /> 1.IOMTORNO RECORDS MANTANED 15 18 <br /> ACCESS CASING SECURED 17 1B <br /> PPING 19 20 <br /> INVENTORY RECONCILIATION 21' 22 <br /> TANK GAUDMq 23 24 <br /> APPROVED RESPONSE PIAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 291 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35i 38 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 30 39 <br /> FIUMAAeLE\OPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41! 42 <br /> POWER OISCONNECMD WE I - <br /> OWNER/OPERATOR MONLTORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST 8E CORRECTED AS <br /> SYSTEM STATUS(MUST MMK ONEI FOLLOWS: <br /> MApR 57 W40R SB 60 <br /> NO <br /> VIOL ❑ VIOL MDL❑ <br /> ' Rg6K�IN LOCAL HEALTH DISTRI NSP. P./(" RECE J <br /> 'i � f <br /> I POST OFFICE E30X 2009 <br /> TOCKTON. CALIF. 95201 9�..� PHONE: BECK <br /> PJTN: ENVIRON. HEALTH <br />