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u GRQND TA <br />4 0 ku um 01 l;I 14 � I rg 3 - Imet <br />.fi. 0 <br />440 N. ban Joaquin Street <br />Mailing Address: P.O. Box 388 <br />COUNTY NAME Stockton, CA 95201-0388 <br />468-3420 COUNTY # <br />SITE NAME:INSPECTION DATE: <br />✓ !E� cY 7 1-29-1 <br />SITE ADDRESS: :5 <br />TO 14 --r CITY/STATE/ZIP <br />Z,7 WgI <br />CHANGES SITE/OWNER/PERMIT? YES NO <br />TANK <br />TANK <br />TANK -7 <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTE F <br />NUMB qQ L) <br />PER <br />EXFt zz001"(4 <br />COMPUTE P <br />NUMBER 4 <br />PERS <br />EXIT. E <br />COMPUTER <br />NUMBER ; //)I) <br />,5 VP <br />PER # <br />E XP DMOC)() <br />9OMPUTER <br />UMBER <br /># <br />�E P. DATE <br />TYPE OF INSPECTION <br />[A,Pf <br />SITE COMPUTER # <br />OPERATIONAL TANK <br />'TANK CONTENTS <br />MIN <br />MAJOR OR <br />1 2 <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />1 <br />7 18 <br />APPROVED MONITORING SYSTEM <br />9 10 <br />MONITORING SYSTEM <br />11 12 <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />ACCESS CASING SECURED <br />17 18 <br />PIPING <br />19 20 <br />INVENTORY RECONCILIATION <br />21 22 <br />TANK GAUGING <br />23 24 <br />APPROVED RESPONSE PLAN <br />25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 28 <br />SAMPLING <br />29 30 <br />APPROVED TANK REPAIRS <br />31 32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 34 <br />SAFETY HAZARD <br />35 36 <br />-- ------ -- -- <br />CONDITIONS ABATED <br />0' ,- 37 <br />TEMPORARY TANK CLOSURE 100 <br />REMOVAL OF RESIDUAL 38 39 <br />FLAMMABLE VAPORS REMOVED 40 <br />ACCESS LOCATIONS SEALED 41 42 <br />POWER DISCONNECTED M43 <br />OWNER/OPERATOR MONITORING 44 145 <br />AMM7777 <br />77 <br />f <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 46 47 <br />PIPING 48 49 <br />FLAMMABLE VAPORS REMOVED 50 <br />UNAUTHORIZED RELEASE 51 52 <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 55 56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />WSTEM STATUS (MUST MARK ONE) FOLLOWS: <br />57 58 59 <br />MAJOR F-1 [-I MINOR NO <br />VIOL. VIOL. ❑VIOL. <br />1-7 A I TITLE: BECK: <br />0 2 4L- f. U fz-f /9 1 N I <br />HUT -3 White - Original Yellow - Owner's Copy Pink - File Copy 5/88 0 m <br />