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COUNTY NAME # <br /> SITE NAME: -� .- M S u ` �� � INSPECTION DATE: /( -S 'S <br /> SITE ADDRESS: /� (�(J �' <rl/Q /N 4r, <br /> S1&; /STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> MFR/PERMIT SUBMR'TED p♦ ID• ID. ID• <br /> TYPE OF INSPECTION SITE COMPUTER♦ PER I PER• PER 0 PER <br /> _ <br /> I EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK MAL. MIN <br /> PERMIT TO OPERATE 1 1 121 <br /> CHANGE IN CONORIONS TO OPERATE 31 141 <br /> APPROVED CONSTRUCTION 6 1 lei <br /> WRITTEN MONITORING PROCEDURES 7 1 181 <br /> APPROVED MONITORING SYSTEM 91 11ol <br /> MONITORING SYSTEM .111 1121 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 1 18 <br /> ACCESS CASINO SECURED 171 1181 <br /> PIPING 191 201 1 <br /> INVENTORY RECONCILIATION 21' 221 1 <br /> TANK GAUGING 231 241 1 <br /> APPROVED RESPO,NSE PLAN 251 28 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29, 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35i X <br /> ITI <br /> CONDONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL w! <br /> 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41! 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44, 451 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 48' 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT `�` `� <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATES(MUST MARK ONEI FOLLOWS: <br /> V a a ZLo <br /> S P569MN LOCAL HEALTH DISTRI NSP. RECENED BY: M G �S <br /> /d a !fvI <br /> POST OFFICE E30X 2009STOCKTON. CALIF. 95201 TITLE. k, <br /> �yTN: ENVIRON. HEALTH /�S JaCI IclCsu� <br />