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remay 0- <br />WUNTY NAME • <br />SITE NAME: <br />INSPECTION <br />v� <br />OATE:� <br />/ <br />SITE ADDRESS: ��� /� Ec <br />O� <br />CfTY�STATE�ZIP <br />7r�1 <br />CHANGES SITE/OWNER/PERMITS <br />YES <br />TANK TANK <br />LFWPERMIT SUBMITTED <br />TANK LANK <br />Type OFNSPECTgN slrE ooMP1RER . <br />• r ID . ID • D . <br />i <br />O /0?o <br />PER • PER . PER . PER . <br />EXP DATE EXP. DATE EXP. DME EXP. DATE <br />UW <br />SAAa <br />MIN <br />PERMIT TO OPERATE <br />1 <br />2 <br />- <br />CNM10E N OONOITIONS TO OPERATE <br />4 <br />APPROVED CONSTRUCTION N <br />5 <br />a <br />WRITTEN MONTORNO pROCEDURESN <br />7 <br />B <br />APPROVED MONITORNO SYSTEM E <br />9 <br />10 <br />MON"O:WO SYSTEM OFERAgaVAL-E <br />11 <br />12 <br />APPROMO MOMTOR FREQUENCY <br />13 <br />14 <br />MONfTORNVO RECORDS MANTAINED E <br />15 <br />16 <br />ACCESS CASINO SECURED N <br />17 <br />1B <br />PIP0p <br />19 <br />20 <br />INVENTORY RECONCILIATION E <br />21 ' <br />22 <br />TNM DALIGNO E <br />23 <br />24 <br />APPROVED RESPONSE PLAN N25 <br />26 <br />- <br />IAU <br />XHT/HDRIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPIND29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />J3 <br />34 <br />SAFETY HAZARD <br />36 <br />CONDITIONS ABATED <br />J7 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38. <br />�9 <br />M <br />FLAMABLE %*PORS REMOVED <br />.o <br />ACCESS LOCATIONS SEALED <br />H 1 , <br />42 1 <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONRpRING <br />44, <br />451 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />t6 <br />d7 <br />PIPING <br />48 <br />491 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />511 <br />52 <br />SAMPLING531 <br />54 <br />IMPROPER ABANDONMENT <br />551 <br />56 <br />THE MARKED ITEMSREPRESENTVIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE <br />^_ <br />FOLLOWS 5fc�i /¢AiQ[x111 <br />57 MINOR 58 <br />VIOL ❑ VIOL ❑ NO <br />SA <br />VIOL <br />R569�UN LOCAL IiEALTH DISTRI <br />NSP <br />RECEIVED BY: <br />POST OFFICE BOX 2009 <br />STOCKTON. CALIF. 95201 <br />N: ENVIRON. HEALTH <br />TITLE: <br />�j <br />� <br />RECK <br />remay 0- <br />