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�.J COUNTY NAME • 3 <br /> SrTE NAME. L(A(CoG /D / INSPECTION DATE: <br /> SITE AbORESS: lZ <br /> 67YT 1�1 rz21� CrTY/STATE/ZIP6- <br /> CHANGES SRE/OWNER/PE ? NO TANK TANK TANK TANK <br /> MFR/PERW SUBMITTED <br /> TYPE OF INSPECTION SITE COMPUTER• ID O.( D• ID• 3 ID• y( <br /> PER• PER• PER• <br /> EXP.DATE <br /> OPERATIONAL TANK EXP.DATE EXP GATE EXP,DATE <br /> IAAJ. MIN. <br /> PERMIT TD OPERATE 1 AM2 <br /> CHANGE IN CONOITgNS TO OPERATE 9 4 Alo AID <br /> APPROVED CONSTRIXi ON N 5 e <br /> *RITTEN MONITORING PROCEDURESN 7 8 <br /> APPROVED MONITORING SYSTEM Etl 10 N9 <br /> MONITORING SYSTEM OPRATIcwAL—E 11 12 1N\1APPROVED MONITOR FREOUENCYN IJ 14AX <br /> MONITORMCI RECORDS MAINTAINED E 15 18 h( 0 <br /> ACCESS CASING SECURED N L20 <br /> PIPING yQC-(jo r <br /> I VENTORY RECONCILIATION E 22 N <br /> TANK GAUGING I° Ain <br /> 2324 <br /> APPROVED RESPONSE PUN N 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 <br /> 1301 f <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED JJ 34 <br /> SAFETY HAZARD J5. 36 <br /> CONDITIONS ABATED J7 <br /> 4 TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 36. 39 <br /> FLAMMABLE NPPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41! 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING u. 45i <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 4(i 491 <br /> FLAMMABLE VAPORS REMOVED E�ok O <br /> UNAUTHORIZED RELEASE "152 <br /> SAMPLING 5J 54 <br /> IMPROPER ABANDONMENT 55' 5-61 N <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS IMUSr MARK ONEI FOLLOWS:- 5tEr-Com/ ! / mu <br /> 57 SB 59 <br /> MAJOR MINOR ❑ VI Q <br /> VIDI. VIOL. V1p(_ <br /> S R569�UN LOCAL HEALTH DISTRI NSP. RECEIVED BY: <br /> POST OFFICC BOX 2009 !G� <br /> STOCKTON. CALIF, 05201 <br /> Aj7N: ENVIRON. HEALTH TSE >>4 Crin-2rt4 �_ CK <br />