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- COUNTY NAME • al <br /> AM <br /> SITE NE: S�l(L ry) M e ,, e � INSPECTION DATE: <br /> SITE ADOREss: Soo RPc,�fi CITY/STATE/ZIP I W-A-c Y' <br /> CHANGES SfTE/OWNER/PERMIT? YES NO TANK I TANK � TANK � TANK <br /> MFR/PERMfT SUBMffTED <br /> TYPE OF NSP£CTK)N SITE COMPUTER• D, '� IC` D• -/- �. I D 0 � ,(� *�� D 0 <br /> 0✓ IMP � PER• RR[ c—K PER• tj✓�c,� " PER• D i c stf PER <br /> EXP.DATE p EXP.DATE 1/wo EXP.DATE b SU I EXP.DIVE <br /> OPERATIONAL TANK MAV. MIN <br /> PERMIT TO OPERATE I'l 121 <br /> CHANGE N CONDITIONS TO OPERATE J 1 141 <br /> APPROVED CONSTRUCTION 6 161. <br /> WRITTEN MONTCRNG PROCEDURES 7 1 B <br /> -APPROVED MONITORING SYSTEM B 1101 <br /> MONRORM SYSTEM 11 1121 <br /> APPROVED MONITOR FREOUENCY 131141 <br /> MONITORING RECORDS MANiA1NED 151 1161 <br /> ACCESS CASING SECURED IT 1181 <br /> PIPING 19 1201 <br /> INVENTORY RECONCILIATION _ 21' 1221 - . <br /> TANK GAUGING 23 1241 <br /> APPROVED RESM JSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 . 28 _ <br /> SAMPLING 29' JO <br /> APPROVED TANK REPAIRS JI 32 <br /> UNAUTHORIZED RELEASES REPORTED JJ <br /> SAFETY HAZARD J5. J6 <br /> CONDITIONS ABATED J7 MA <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38, 39 <br /> FLAMMABLE VAPORS REMOVED b <br /> ACCESS LOCATIONS SEALED 41- 42 <br /> POWER 04SCONNECTEO Em El- <br /> OWNER/OPERATOR MONITORING 44. 45i <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 48 49 dy <br /> FLAMMABLE VAPORS REMOVED - 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 5354 <br /> IMPROPER ABANDONMENT 55 58 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS IMOSf MARK ONEI <br /> FOLLOWS: <br /> kefAa)eTC — <br /> MA.K%i 57 WNOfi 58 No s9 f� 's ` e 'AP<.� <br /> ,K)L ❑ VK ❑ NOL o <br /> Sem a-- <br /> A)MQUN LOCAL HEALTH DISTRI NSP: RECEIVED BY. <br /> POST OFFICE BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH PHONE <br /> 0- <br />