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COUNTY NAME ♦ n1 . 1 � i_ ,its <br /> SITE NAME: INSPECTION DATE: 9 <br /> SITE ADDRESS: y CfTY/STATE/ZIP <br /> CfigMS SrrE/OVMER/PEMff 7 YES NO TANK I TANK TANK TANK <br /> MFR/PERMfT SUBMrMD Q. WT/ate, ID 0 Q 0 p. <br /> TYPE OF INSPECTION SITE COMPUTER• PER• PER A PER A PER• - <br /> IA I_ ENO'.DATE EXR GATE EXP.DATE EXP.DATE <br /> OPERATIONAL LANK MAJ MIN <br /> PERMIT TO OPERATE t 2 <br /> CHAME N CONDITIONS TO OPERATE ] 4 <br /> APPROVED CONSTRUCTION 6 E <br /> WRITTEN MONITORMp PROCEDURES 7 B <br /> APPROVED MONITORM�6 SYSTEM 0 10 <br /> MONRORMNG SYSTEM 11 12 <br /> APPF40VED MONITOR FREQUENCY W 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASINO SECURED 17 10 <br /> j PIPING 19 20 <br /> INVENTORY RECONCRIATION 21' 22 <br /> TANK GAUOIJO 27 24 <br /> APPROVED RESP014SE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 20 <br /> SAMPLING 29' 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHOFIIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARO 35, 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38. 39 <br /> FLAMMABLE VAPORS REMOVED 140 <br /> ACCESS LOCATIONS SEALED 141, 142i <br /> POWER DISCONNECTED u <br /> OA'NER/OPERATOR MONITORING F,, l51 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 4C>1 17 <br /> flfI NG W 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE S1 52 <br /> SAMPUNG 5,31 54 <br /> IMPROPER ABANDONMENT 55' S6 <br /> T//E MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STALLS(MUST MARK Lr El FOLLOWS. r !�{�C>✓ off- -FrJK Fp02-r - <br /> 57 B 50 <br /> MAJOR MINORNO <br /> IOL <br /> VIOL_ ❑ V ❑ VI <br /> ' S R56KtN LOCAL HEALTH DIST RI( NSP _rRECEIVED BY: <br /> POST OFFICC BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH TITLE: nlrrhruP J PHONE BECK <br /> n nnr O- <br />