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COUNTY NAME • <br /> SITE NAME: ZG . K Z£Gvl INSPECTION DATE:* <br /> i <br /> srrE ADDRESS: ll �30 (,�JarY/S A E/ZIP <br /> , f�� Yn 6c �S X69 <br /> CRkNGE3 SrM/OWNER/PERMIT? - ; NO TANK T74IJIC TANKTANK <br /> MFR/PEFUr SUBMrrTE p • 'O p • O Z o • O > p • <br /> Of NSPECTION <br />/ r— — ,. _ • pEp :• PER • PER • PER <br /> EXP DATE <br /> EXP* DATE EXP. DOE EXP DATE <br /> i OPERATIONAL LINK µAd µIN <br /> PEF*4I To OPEdiuE 1 121 <br /> CHANGE IN CONDITIONS To OPERATE 3 t <br /> APPROVED CONSTRUCTION 6 6 <br /> WRITTEN MONRORING PROCEDURES- 7 B <br /> APPROVED MONITORING SYSTEM _ O - 10 <br /> MONITORING SYSTEM - i t 12 <br /> APPROVED MONITOR FREOUENCY 13 j/ 14 ✓ t✓ <br /> MONITORING RECORDS MAIITAINED 15 v le ✓ L� ✓ - <br /> y ACCESS CASING SECURED 17 lial <br /> y <br /> Ppm 19 1201 1 - <br /> INVENTORY RECONCWTION 21 V 22 ✓ ✓ <br /> TANK GAUGING 23 2l <br /> 1 1 <br /> APPROVED RESPONSE PLAN 25 1261 1 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 1261 _ . . . <br /> SAMPLNG - 29 '1 301 1 <br /> APPROVED IAW REPAIRS Jt 32 - <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> QTY HAZARD 35 ; 38 <br /> CONORIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 36 39 <br /> FLAMMABLE VAPORS REMOVED ap - <br /> ACCESS LOCATIONS SEALED a 1 ; 1421 <br /> POWER DISCONNECTED a3 _ <br /> OWNER/OPERATOR MOWTORING M 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 4L61 1471 <br /> PIPING 4E 1491 1 _ <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 5t 52 <br /> SAMPUING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS (MUST MARK ONE) FOLLOWS: <br /> 57 MAJOR MWOR <br /> VIOL VOOL 68 69 <br /> lS IMPRUN LOCAL HEALTH DISTRII NSR /q` /i RECEIVED BY: <br /> POST OFFICE BOX 2009 / b `G� 9 <br /> STOCKTON. CALIF, 95201 -1jj 'fI_ .(_ IR _a Yom' �'� ��r ," 1•. <br /> A37N : ENVIRON, HEALTH TITLEm& /� REae <br />