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COUNTY NAME ♦ ? <br /> <' SITE NAME: � 1 INSPECTION DATE: <br /> SITE ADDRESS: 117 � <br /> W1 C(TY/STATE/ZIP <br /> CHANGES 3CTE/OWNER/PERMrr? YES c iANK �vlc <br /> MF'R/PERMIT SUBMMMD <br /> TYPE OF NSPECnON SfTE C(7 '11f1rR I ♦ I ID• D <br /> f PERI PERI PERI PER 0 <br /> EXP.DATE EXP.DATE EXP.DATE M DATE <br /> OPERXrK AL�C m" 11IIN. <br /> PEAWT TO OPERAZE 1 21 1 Q <br /> CHAME N CONDf KM To OPERATE 7-41 <br /> APPROVED ODNSTRUCTI N N 6 g <br /> WRITTEN L40WORN(3 PROCEDURES A) 7 8 <br /> APPROVED MONITORING SYMM E @ 10 <br /> MON111ORM SYSTEM OFMWaVAL—E 11 j 17 <br /> APPROVED MOWOR FREOUENCY N 13 14 <br /> MONITIORM RECORDS MAINTAINED G IS 1161 <br /> r ACCESS CASING SECURED N 17 18 <br /> $�I`•tPpm 1e 20 <br /> 04WNTORY RECONCILIATION IE x 122HIAW GAUGM E 21APPROVED RESPQNSE PLAN N 25UNAUTHORIZED RELEASE OCCURRENCE x7M(31 1 <br /> SAMPL29 <br /> APPROVED TANK REPAJRS 31 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35i 06 <br /> CONon)ONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38, 39 <br /> FLAMMAQLE MM"ORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> 71 <br /> PCWER DISCONNECTED <br /> OWNER/OPERATOR MONTTt7RING 44, 45i <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIpuAL MATERIALS 461 47 <br /> PIRNG 48 491 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 531 54 <br /> IMPROPER ARANOONMENT 55' S8 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLOWS: <br /> 58 59 <br /> MAJOR 57 MINOR NO <br /> VIOL. VIOL V10L <br /> S f?Mhl UN LOCAL HEALTH DISTRI NSP. RECEIVE <br /> POST OFFICE BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> Aj-TN: ENVIRON. HEALTH t P+ REC* <br />