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7/fL0 O• <br />T NAMt <br />SfTE NAME: <br />INSPECTION DATE: <br />SITE ADDRESS: <br />CfTY/STATE/DPS"t� <br />CH"ES SfTE/OWNE /PERMfT? YES <br />NO <br />TANK TANK TANK TANK <br />MFR/PERMff SUBMITTED <br />TYP€ NSPE SITE COMPUTER ♦ <br />o Gi p• q I D• <br />PER 0 PER 0 PER 0 PER • <br />EXp. DATE EXP. DATE Elm. DATE EXP. GATE <br />OPER/aUMAL TANK w wt <br />MON <br />PERMIT TO OPERATE 1 <br />21 <br />1 <br />CHMIOE N CONDITIONS TO OPERATE 3 <br />141 <br />APPROVED OONSTRUCTION 6 <br />6 <br />WRITTEN MONRORNG PROCEDURES 7 <br />8 <br />APPROVED MO nIoRING SYSTEM 9 <br />10 <br />MONITORNG SYSTEM 11 <br />12 <br />APPROVED MONI[TOR FREOUENCY 13 <br />141 <br />1 <br />MONRORNO RECORDS MANTAINED IS <br />18 <br />ACCESS CASING SECURED 17 <br />16 <br />P1PIN0 19 <br />20 <br />INVENTORY RECONCIJATIOIN 21' <br />22 <br />TANK GAUQMp 23 <br />24 1-1 <br />APPROVED RESPONSE PLAN 25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />26 <br />SAMPLRIO 201 <br />30 <br />APPROVED TANK REPAIRS 31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />SAFETY HAZARD 351 <br />38 1 <br />1 <br />CONDITIONS ABATED 37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL 38 <br />39 <br />FLAMMABLE VAPORS REMOVED b <br />ACCESS LOCATIONS SEALED 41! <br />42 <br />POWER DISCONNECTED <br />43 <br />CAMTCR/OPERATOR MOMTORING 44 i <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 461 <br />47 <br />PIPING 48 <br />491 <br />FLAMMABLE VAPORS REMOVED Sol <br />ME <br />UNAUTHORIZED RELEASE 51 <br />52 <br />SAMPLING 513154 <br />IMPROPER ABANDONMENT 55 <br />59 <br />SYSTEM STATUS MARK <br />THE MARKED REr //REPRESENT VIOLA AND BE COfIRECTEO /}O <br />(MUST ONEI <br />FOLLOWS: L�}'"""'"' <br />57 58 so <br />OR <br />NOL. ❑ VIOL VIOIJ <br />0 <br />L <br />9MQUN LOCAL HEALTH DISTRI <br />NSP <br />p� <br />RECEIVED BY: <br />POST OFFICC 13OX 2009 <br />M' <br />STOCKTON. CALIF. 95201 <br />((' <br />A,TTN: ENVIRON. HEALTH <br />TITLE: <br />J <br />PHONE: <br />IEC" <br />7/fL0 O• <br />