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P� /lam <br />Cr)"KITV kl..' 24 <br />5 <br />SITE NAME: t�L/ <br />INSPECTION DATE: <br />t <br />SITE ADDRESS: �SO7�(� <br />CRY/STATE/ZIP 7 <br />L.�(J!Z <br />- <br />CHANCES SITE/OWNER/PERMIT? YES <br />TANK TANK TANK TANK <br />WR/PERMIT SUBMITTED <br />TYPE OF WSPELITION SITE COMPUTER • <br />IDG ( ID• Z ID 0 ID <br />PER ♦ PER ♦ PER I PER • <br />( ism <br />EXP. DATE EXP. DATE EXP. DATE EXP. DATE <br />OPERATIONAL TANK MAJ. <br />MIN <br />PEF"r TO OPERATE 1 A21 <br />IU <br />CHANGE IN CONDITIONS TO OPERATE 34 <br />APPROVED CONSTRUCTION N 6 <br />8 <br />WRITTEN MONITORING PROCEDURES n( 7 <br />8 <br />APPROVED MONITORING SYSTEM E 9 <br />10 <br />MONITORING <br />SYSTEM Ch�k'GY�(FiL-E 11 <br />12 <br />APPROVED MONROR FREQUENCY N 13 <br />1, <br />MONITORING RECORDS MAK NNED E 151161 <br />1 <br />ACCESS CASING SECURED Ai 17 <br />18 <br />PIPING 19 <br />1201 <br />04VEMORY RECONCIUATIO N E 21 ! <br />zz <br />TANK GAUGING E 23 <br />24 <br />APPROVED RESPn NSE PLAN ,N <br />26 <br />- <br />UNAUTHORIZED RELEASE OCCURRENCE <br />28 <br />SAMPLING <br />30 <br />APPROVED TANK REPAIRS <br />[37 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />34 <br />SAFETY HAZARD <br />36 <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL 38, <br />39 <br />FLAMMABLE VAPORS REMOVED b <br />ACCESS LOCATIONS SEALED 41 <br />42 1 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING 44, <br />45' <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 461 <br />47 <br />PIPING 48 <br />491 <br />. <br />FLAMMABLE VAPORS REMOVED 501 <br />Ek <br />UNAUTHORIZED RELEASE 511 <br />52 <br />SAMPLING 531 <br />54 <br />IMPROPER ABANDONMENT 5,51 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: C <br />57 58 59 <br />MAJOR MINOR NO <br />VIOL. VIOL ❑ VIOL ❑ <br />MQUN LOCAL HEALTH DISTRI <br />NSRRECEIVED <br />BY: <br />k2 <br />POST OFFICE BOX 2009 <br />STOCKTON. CALIF. 95201 <br />%Lr� <br />: -? <br />RECK: <br />AJTN: ENVIRON. HEALTH <br />TITLE' <br />�� (� <br />