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SITE NAME.- COUNTY NAME • .3cNAME.- �' <br /> NSPECTION DATE: 7 <br /> SITE ADORES& <br /> j/PE1 �7- CITY/STATE/ZIP <br /> 0"WS SITE/OWNER ? 7-lG�'F� � NO1E)CROATE <br /> TANKS TANK TANK TANK <br /> T SITE COMPUTER• 10 0;0 o• ID• ID• <br /> PER PER• PER• PER• <br /> D! EXP.DATE EXP.DATE EXP:DATE <br /> 0PE -_UW MA,1. MIN. <br /> FERW TO OPERATE 1 2 <br /> CHANOE N OONOMONS TO OPERATE 3 4 <br /> APPROVED OMarN CTTON N 6 8 <br /> WWT1EN MMMF NO PAOCEDURES/V 7-7- <br /> APPROVED WWTORM SYSTEM E 9 10 <br /> MONITORING SYSTEM OPOWcwAL-E 11 t2 <br /> APPF'OVE0 MONfTDR FREOUENC,YN t3 t4 <br /> MONMRINO RECOROS MAOM NEO EIS 18 <br /> r ACCE33 CASMdG SECURED N 17 18 <br /> P'P`NO I- <br /> 19 20 <br /> MdVENTORY REOONCIUATION E 21' 22 <br /> DO*GALKUNG E 2J 24 <br /> APPROVED RESPONSE PLAN N ?5 28 <br /> UNAUT►IORIZEO RELEASE ONCE 27 28 <br /> SAMPUNC3 29, <br /> 301 F <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAU'TMAIZEO RELEASES REPORTED JJ 3{ <br /> SAFETY HAZARD 35, 36 <br /> CONOr IONS ABATED 3:7 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUA(_ 38, 39 <br /> FLAMMABLE VAPORS REMOVED 10 <br /> ACCESS LOCATIONS SEALED t 1! 42 <br /> POWER DISCONNECTED � <br /> OWNER/OPERATOR moNrToR(NG u. 451 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIOUAL MATERIALS 46 41 <br /> NPING <br /> 48 49: <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE "152 <br /> SAMPUNtj SJ 54 <br /> IMPROPER ABANOONMENT 55• 58 <br /> SYSTEM STATUS(MUST MARK ONEt <br /> THE MARKED ITEMSyREPRESENT V1pLATI)NS ANO MUST BE CORRECTED AS <br /> FOLLOWS: �/�+! TT �I `fGTF��%— <br /> 57 58 50 <br /> MAJOR <br /> Va MINOfiNO <br /> 10L „1� o VIOL <br />' PWRPN LOCAL HEALTH 01STRI NSP JW RECEIVED 8Y: <br /> POST OFFICC BOX 2009 <br /> STOCKTON. CALIF. 9320t J <br /> rjTN: ENVIRON. HEALTH TILE: �� PH � � RECK <br />