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CONT U 1 STOCKTON, CA ?�A43 Ct7jJ �� <br /> Y.40. PHONE NO. 468 a.3 <br /> �/7 <br /> SITE NAME: / - / - r /P / 1NSPECTI 0N DATE: / <br /> SITE ADDRESS: CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? , YES NO .TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMIT>-EO? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUM8ER NUMBER NUMBER <br /> TYPE OF INSPECTION SFTE COMPUTER PER PER: I "O-O R �' PER # <br /> /aS�-UI <br /> EXP.DATE EXP+rDA/p <br /> TE EXP,DATE EXP.DATE <br /> OPERATIONAL TANK TANK COr Ee M <br /> MAJOR MINOR r € <br /> PERMIT TO OPERATE 1 2'. <br /> CHANGE IN CONDITIONS TO OPERATE 3 4, <br /> APPROVED CONSTRUCTION 5 6;: <br /> WRfTTEN MONITORING PROCEDURES 7 ' 8, <br /> APPROVED MONITORING SYSTEM 9 10. <br /> MONITORING SYSTEM 11 12 JY <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINEDF IS t6• y`�J "i" f ` <br /> --1 _ - . <br /> ACCESS CASING SECURED 17 18. a�` /; I <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22: L p <br /> TANK GAUGING 23 24' ` <br /> APPROVED RESPONSE PLAN 25 26' <br /> i UNAUTHORIZED RELEASE OCCURRENCE 27 28. <br /> E SAMPLING 29 . 30. — <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34'- <br /> SAFETY <br /> 4'SAFETY HAZARD 35 36•. <br /> CONDITIONS ABATED 37 <br /> tquS'71+ , '- a Max <br /> �Sl;z�l <br /> H F jr <br /> TEMPORARY TANK CLOSURE s �� r, 4y , 't R , <br /> REMOVAL OF RESIDUAL 38 39° <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42• <br /> POWER DISCONNECTED ml43 <br /> OWNER/OPERATOR MONITORING 44 45' <br /> PERMANENT TANK CLOSURE <br /> ...va.- _ :. +►•- ' r xYi Rk'{ �,. 4 *t ti 7ny — .w�TaY4 „'v <br /> {' R1 MOVAL OF RESIDUAL MATERIALS 46 47 y <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52� <br /> SAMPLING 53 4 <br /> MPROPER ABANDONMENT <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST ONE) FOLLOW: { <br /> l� <br /> MAJOR 57 MINOR NO 58 59 K i i vTr <br /> VTOL VIOL ❑ VIOL.❑ <br /> OFFICE: INSP / RECEIVED BY: <br /> TITLE: s+ „,! S PHONE: RECK: <br /> 14iT`3 OWNER'S COPY sfaa <br /> ti <br />