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COLTION <br /> SITE NAME: GV l� / IN : (� <br /> SITE ApOREss:� y�� c C/ CITY/STATE/ZIP 5T <br /> C1iANCES SITE/OWNER/PERMIT? YES NO TANK TANK TANTANK <br /> MFR/PERMIT SUBMRTED <br /> TYPE Of INSPECTION SITE COMIPIlTER♦ ID 0 I IDI ID• ID• <br /> PER• PER• PERPER• <br /> �� , / EXP.DATE EXP.DATE EXPEXP.DATE <br /> OPERATIONAL TANK MAN. MIN. <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 l <br /> APPROVED CONSTRUCTION N 5 8 <br /> WRITTEN MOWTORMrO PROCEDURES <br /> APPROVED MOMTORING SYSTEM E B 10 <br /> MONITORING SYSTEM Ot'Is:1GM(AN--E 11 12 <br /> APPROVED MONITOR FREQUENCY IV 13 14 <br /> MONITORING RECORDS MAINTAINED E 151 1161yl <br /> ACCESS CASING SECURED(V 17 1181 <br /> PIPING 19 1201 <br /> INVENTORY RECQNCIUATION E21 22 <br /> TANK GAUGING E. 23 24 <br /> APPROVED RESP(714SE PLAN/V 2528 - <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 291 301 1 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35i 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38. 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41' 1421 <br /> L+ <br /> t' POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING <br /> 44, 1451 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 501 M <br /> UNAUTHORIZED RELEASE 511 52 <br /> SAMPLING 53 1 54 <br /> IMPROPER ABANDONMENT 551 58 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLOWS: <br /> MAJOR 57 MINOR SB L_ NO 59 <br /> VIOL ❑ VIOL VIOL❑ <br /> Sj 9y6QUN LOCAL HEALTH DISTRH NSP,I� RECEIVE <br />%? POST OFFICE E30X 2009 <br /> STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH mPaN�;tE:S RECX <br /> „I„e, o- <br />