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COUNTY NAME • <br /> SITE E: ® S I FromcTIONDATE: <br /> SrTE SS' CC cis Cmr/ /ZIP -- <br /> 3 SITE/OWNER/PERMIT? YES <br /> MWPERMIT ® ID Of D• �' p` <br /> OF C SITE COMPUTER• <br /> PER• PER• PER• <br /> i <br /> EXP.DATE JEW.DATE <br /> p• K <br /> PEAWTDOPUM 1 2 <br /> CONDITIONS04MM IN TO OPERATE 3 4 <br /> APPROVED OON N 6 161 <br /> WRITM MONITORNO PROCEDURES 7 8 <br /> APPROVED NG SYSTEM 9 /0 <br /> IN(3 SYSTEM 11 12 <br /> APPROVED FRE 13 14 <br /> NvG D 15 to <br /> ACCESS y SECURED 17 18 <br /> Ppm t9 <br /> 9WENTORY RE 'TION (�n�ecs,rr�� 21 22 77 <br /> TANK GAUGM $ 231 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> LINA 21:0 RELEASE O00JRRENCE 27 28 <br /> SAMPLING E37 <br /> 30 <br /> APPROVED 32 <br /> RELEASES D 34 <br /> SAFETY KAZARD 35 3a <br /> CONOMONS TED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 p 39 <br /> FLAMMABLE NOPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41; 42 <br /> { POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44. 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 48• 49 1 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 1531 54 <br /> IMPROPER ABANVONMENT 1551 1561 <br /> THE MARKED ITEMS REPRESENT VKX AT(ONS MIO MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) ° <br /> FOLLOWS:- <br /> 57 58 59 ®� <br /> MAJOR NO VIOL VIOL 1_J VIOL❑ <br /> SWIMN LOCAL HEALTH DISTRI N RECEIVED BY. <br /> POST OFFICE BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH �m BECK: <br />