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�{ STOCKTON. CA 35205 �j <br /> COUNTY NAS �lJ(� J CJrZ C[C.ycJ PHONE NO, 468-3423 COUNTY # LJ <br /> � r <br /> SITE NAME: D� c� INSPECTION DATE: / y/ <br /> SITE ADDRESS: -z z Q � � l h�, Yl CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK ZTAA,,K ANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER PUTER COMPUTER <br /> TY E OF INSPECTION SITE COMPUTER NUMBER NUMBER BER NUMBER <br /> n l PER ` PER = # PER <br /> P�t?'�G�.�` `2 �- EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 jio <br /> MONITORING SYSTEM 11 112 <br /> APPROVED MONITOR FREQUENCY 13 114 <br /> MONITORING RECORDS MAINTAINED 15 116 1 <br /> ACCESS CASING SECURED 17 118 �,}� _ <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 130 <br /> APPROVED TANK REPAIRS 31 132 r' <br /> UNAUTHORIZED RELEASES REPORTED 33 34 / <br /> SAFETY HAZARD 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 ME <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNERrOPERATOR MONITORING 44 45 <br /> ERMANENT TANK CLOSURE <br /> R AL OF RESIDUAL MAT 46 47 <br /> PIPING 48 49 l i1 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 4� <br /> SAMPLING 153 54 4 <br /> IMPROPER ABANDONMENT 155 156 <br /> THE MARKEDITEMS REPRESENT VIOLATIONS AND MUST qE COR ECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) 6FOLLOWS: >a JZ- .I/7,&;f IYi <br /> 57 58 9 <br /> MA. CR MINOR NO <br /> VIOL. ❑ VIOL. ❑ ZL- <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE PHONE: BECK: <br /> ,UT-3 �F IC=INAL <br />