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• COUNTY NAME i <br /> SITE NAME: rr <br /> INSPECTION DATE: <br /> SITE ADDRESS: � _ CI1Y/S1XTE/ZIP <br /> I ? c;- - r <br /> CHANGES <br /> SITE/OWNER/ <br /> y S NO TANK TANK L�ME <br /> TANK <br /> IFR/PERMIT SUBMITTED z SQ <br /> TYPE OF INSPECTION SITE COMPUTER• D D D• <br /> PER• PER• <br /> . . EXP.DATE PER• <br /> EXP.DATE EXP.DATE <br /> OPERATK NAL TANK MAJ. MIN <br /> PERM M OPERATE 1 2 <br /> CHANGE IN CONDITIONS To OPERATE 3 N <br /> APPROVED CONSTRUCTION N 6 6 <br /> WRITTEN L"OMRMNGPROCEDUHESN 7 B <br /> APPROVED MONITORING SYSTEM E —9 - 70 — <br /> MONITORING SYSTEM 0FE'3W(WAL-E. 11 12 <br /> APPROVED MONITOR FREQUENCY N 1314 <br /> MONITORING RECORDS MAINTAINED 615 16 <br /> ACCESS CASING SECURED N 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCNJATION E 21' 22 <br /> TANK GAUGING E 23 24 <br /> APPROVED RESPr)NSE PLAN N 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 20 <br /> SAMPLING 291 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35. 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 36, 39 <br /> VAPORS PORS REMOVED 4p <br />:N <br /> ACCESS LOCATIONS SEALED 41: 42 <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONTTORING u 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS E54 <br /> 47 <br /> PIPING 491 <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 52 <br /> SAMPLING <br /> IMPROPER ABANDONMENT 56 <br /> SYSTEM STATUS(-UST MARXTHE MARKED ITEMS REPRESENT VIOLATIONS AND MUST 13E CORRECTED AS <br /> ONEI - "' <br /> FOLLOWS. r I., <br /> MAJOR 57 MINOR 58 59 <br /> VKIL ❑ ❑ VIOL <br /> VOL NO <br /> J Rh61 AN LOCAL HEALTH DISiRI NSP RECEIVED BY: <br /> POST OFFIC[ E30X 2009 <br /> STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH T� j�¢A "/74IZ,4k �"0NE BECK <br />