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-- COUNTY NAME / 7! `I <br />SITE NAME: 4 <br />/� , , , <br />INSPECTION DATE: // �[ 7 IS <br />SITE ADDRESS: l�{�1% / 1 <br />CITY/STATE/ZIP �r <br />CHANGES SPIE/OWNER/PERMIT? YES <br />T/WK <br />TANK TANK TANK <br />MFR/PERMIT SUBMITTED <br />D• 1 <br />7 <br />C.i <br />D I D I IO <br />TYPE OF INSPECTION SITE COMPUTER I <br />PER / <br />PER / PER • PER / <br />T, 9— 1 17c6a---- <br />EXP. DATE <br />EXP. DATE EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />MAJ. <br />MIN <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONOTTIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION N <br />6 <br />8 <br />WRITTEN MONITORING PROCEDURES N <br />7 <br />8 <br />APPROVED MONRORINO SYSTEM � <br />9 <br />10 <br />MONRORINOSYSTEM OPEZATiCNAYE <br />11 <br />12 <br />APPROVED MONITOR FAEWENCV, Al <br />13 <br />14 - <br />MONITORING RECORDS MAINTANEDE <br />15 <br />18 \jQ <br />Ayo <br />ACCESS CASINO SECURED /�( <br />17 <br />18 <br />PIPING 5Vf rjON- <br />19 <br />20 <br />INVENTORY RECONCILIATION E <br />21' <br />22 <br />-TANK GAUGING E <br />23 <br />24 <br />APPROVED RESPONSE PLAN/N4 <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29' <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35, <br />36 <br />C.ONORIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />r381 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41! <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONf ORING <br />M, <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />461 <br />47 <br />PIPING <br />48 1 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />501 <br />m <br />UNAUTHORIZED RELEASE <br />511 <br />52 <br />SAMPLING <br />53164 <br />IMPROPER ABANDONMENT <br />551 <br />511 <br />THE MARKED ITEMS REPRESENT VIOLATIONS MiFEcB`J 'C <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS. <br />/u(aTED <br />-� <br />MAJOR 57 MINOR 58 NO59 <br />VIOL VIOL El VIOL ❑ <br />I <br />R MMN LOCAL HEALTH DISTRI <br />NSP. <br />RECE DBY: <br />POST OFFICE BOX 2009 <br />STOCKTON. CALIF. 95201 <br />BECK ( <br />N: ENVIRON. HEALTH <br />TITLE % I�lTl d1'i� <br />mnev d. <br />