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STOCKTON,CA 95205 COUNTY <br /> COUNTY NAME PHONE NO. 468-3423; <br /> SITE NAME: � e,- INSPE&bN DATE: <br /> SITE ADDRESS: <br /> SITE <br /> �Q <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK o TANK TANK TANK <br /> FORM A AND/OR g SUBMITTED? NUMBER <br /> COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> FY'PE OF INSPECTION/ SITE COMPUTER# PER PER # PER <br /> EX # PER # <br /> /-'T/ ry Y 9 K TE <br /> Uv EXP.DAfE EXP.DATE <br /> DATE EXP DA <br /> OPERATIONAL TANK rnNxcoNTen�rs �g �� ` t <br /> MAJOR MINOR �Kf- . <br /> PE111AT-TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WPT'TFN MONITORING PROCEDURES 7 8 <br /> A6rrtOVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCEi•SS CASING SECURED 17 is' <br /> PIPING 19 20 <br /> ttgvl N EORY RECONCILIATION 21 2.2 - --_ <br /> 1itk3K GAUGING 23 124 <br /> PI) ROVED RESPONSE PLAN 25 126 11 <br /> ? <br /> 114AI 111 19TRIZED RELEASE OCCURRENCE 27 128 <br /> St+t:'F�r rnJG 29 30 <br /> Ans'E?O)Vf=D TANK REPAIRS 31 32 -.� " _ - -.__—_...--• --.�__._.._.-_-__._. _� .. ,_. .._..�..,.. <br /> tpA,l tlT'110R171=0 RELEASE$REPORTED 33 34 <br /> /+FIcTv I-IAT_ARD 35 36 ..-_. _ - - ,. .. _.._...�.__.. � —___..•_._...�__.__ _..,. _. .� .._. ...� <br /> <`r?�.IfJJT'1(7[JS AITATE[l 37 <br /> TEMPORARY TANK CLOSUREr � } $11&i <br /> t�`gY s }! $�:�5.i� <br /> {;r100VAI OF 1ESIDUAL 38 39 <br /> R,A1 j`IMARLF VAPORS REMOVED 40 <br /> A,"" SS LOCATIONS SEALED 41 4?_ <br /> !Ss;1^n-.Fi DISCONNECTED 43 _. _.�.. .._....,.,.__. . _...>______.__....�. <br /> ,,'Al Il_F3lOP-BATOR MONITORING 44 45 <br /> 31 <br /> "11141N, 14�10 Nal= A2 <br /> R-MOVAI.OF RESIDUAL MATERIALS 46 47 <br /> PIPIN(3 48 49 <br /> 11 AMMAB F VAPORS REMOVED 50 <br /> tJI.JAUJI40nQ-ED RELEASE 51 57 _ • """ ,- . .. ..•...._.. . , r -. <br /> 7AFfI711NG . 53 54 _•. ., ... . ,...M r. ..,...M....__......,_......._... .,.,...,�...K_. x <br /> IMrnOPFR ARANDONMENT 55 . 56 ` <br /> THE MARKED ITEMS REPRESEENNT/V'IOOL`ATIONS AND MUST BE CORRECTED AS <br /> i-C-Tr_JA STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 59 -- - -- -- - <br /> VIOL. ❑ VIOLOR ❑ VIOL.❑ --- - <br /> OFFICE; --- INSP: G RECEIVED BY: <br /> 4— <br /> TITLE: <br /> --- <br /> TITLE: /� / s, PHONE: BECK: - - <br />