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PEPJXT TO OPERATE <br />CHMKTE W CONOTTXNNS TO OPERATE <br />APPROVED CONSTAl1cTIoN M <br />WRITTEN MOMTORM PROCEDURES N <br />APPROVED MONRORMq SYSTEM IF- <br />MONRORINGSYSTEM OPCRATIOAIAE <br />APPROVED MONITOR FREQUENCY N <br />MOMTORMO RECORDS MANNTAINEDE <br />ACCESS CASING SECURED Al <br />INVENTORY RECONCILIATION E <br />TANK GAuOINO E <br />APPROVED RESPQNSE PLANK <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />ONNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />OOR O <br />YMA,oJORL El MvloL <br />Fal <br />S <br />OMED <br />ME <br />:a�M© <br />MEM <br />MC <br />m <br />IA <br />POST OFFICE BOX 2009 <br />STOCKTON. CALIF. 95201 <br />-AJTN: ENVIRON. HEALTH <br />z;'FuJ 01-4-#7 5t+eqFT5;" . - <br />COUNTY NAME A J <br />SITE NAME: <br />INSPECTION DATE:/ <br />SITE ADDRESS: c(o� <br />CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? YES NO <br />TANK <br />TANK <br />TANK TANK <br />WRIPERMIT SUBMITTED <br />ID • <br />p • <br />b. ID • <br />TYPE OF 94WECTION SITE OOAPUTER • <br />PER ♦ <br />PER 0 <br />PER • PER • <br />I (,(% (.;; <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE EXP. DATE <br />OPERATIONAL TANK I MAN. MIN. <br />PEPJXT TO OPERATE <br />CHMKTE W CONOTTXNNS TO OPERATE <br />APPROVED CONSTAl1cTIoN M <br />WRITTEN MOMTORM PROCEDURES N <br />APPROVED MONRORMq SYSTEM IF- <br />MONRORINGSYSTEM OPCRATIOAIAE <br />APPROVED MONITOR FREQUENCY N <br />MOMTORMO RECORDS MANNTAINEDE <br />ACCESS CASING SECURED Al <br />INVENTORY RECONCILIATION E <br />TANK GAuOINO E <br />APPROVED RESPQNSE PLANK <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />ONNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />OOR O <br />YMA,oJORL El MvloL <br />Fal <br />S <br />OMED <br />ME <br />:a�M© <br />MEM <br />MC <br />m <br />IA <br />POST OFFICE BOX 2009 <br />STOCKTON. CALIF. 95201 <br />-AJTN: ENVIRON. HEALTH <br />z;'FuJ 01-4-#7 5t+eqFT5;" . - <br />