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COUNTY NAME • ' <br /> r ' <br /> rSrrEm <br /> NAME: ` ,r 1 -- INSPECTION DATE:a <br /> ADORESS: l' CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK <br /> MFR/PERMIT SUBMITTED 7711VIC TANK <br /> TYPE of INSPECTION SITE COMPUTER. 0# <br /> 1 D• D• ID <br /> PER• PER I PER I PER f <br /> EXP.DATE EXP.DATE EXP.DATE EXP.WiTE <br /> OPEHATMAL LANK fIIIA,J. IUI1N. <br /> P'EF"T TO OPERATE 1 2 <br /> CKANGE N CONOITIOM TO OPERATE 3 4 <br /> APPIP OVED CONSTRUCTION N 6 g <br /> WRITTEN MONI'TORING PROCFDURESAI T8 <br /> APPFIONED MON[TORINi3 SYSTEM E 9 i0 <br /> MONrTORIrVCi SYST>~M oAERA�iawL--E 11 12 <br /> APPROVED MONnTOR FREQUENCY N 13 114 <br /> MOntIMRING RECORDS MA*aUNED E i5 18 <br /> ACCESS CASING SECURED N 17 18 <br /> PIPINO 19 20 <br /> PNENTO Y RECONCILIATION E 21 22 <br /> I1NK GAUQING E 23 24 <br /> APPROVED RESPONSE PLAN N 251 1201- <br /> UNAUTHORIZED RELEASE OCCURRENCE 271 1281 <br /> SAMPLING 29 30 <br /> APPROVED TAW REPAIRS N33 <br /> 32 <br /> UNAUTHRI <br /> OZED RELEASES REPORTED 34 <br /> SAFETY HAZARD 35i 36 <br /> CONDITIONS ABATED R 37 <br /> TEMPORARY TANK CLOSURE. <br /> REMOVAL OF RESIDUAL 38, 39 <br /> FLAMMABLE VAPORS REMOVED 4p <br /> ACCESS LOCATIONS SEALED 41! 42 <br /> POWER DISCONNECTED E <br /> OWNER/OPERATOR MONITpRING 44, 45i <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 48 491 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE S 1 52 <br /> SAMPLING .531 rye <br /> IMPROPER AS+WOONMENT 1561 <br /> THE MARKED ITEMS REPRE SENT VK)LATIONS AND MUST 8E C.ORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLOWS: ' <br /> MAJOR 57 MINOR NO 59 <br /> vloL ❑ VKx V10I`❑ <br /> 5 1996QUN LOCAL HEALTH DISTRI NSP: RECENED BY: <br /> POST OFr-ICC BOX 2009 <br /> STOCKTON_ CALIF. 95201 <br /> N: ENVIRON. HEALTH 'j�/u� �j�j(� I RECX: <br />