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COUNTY NAME I L�Ki�/O�C11(//� <br /> SITE NAME: INSPECTION DATE: <br /> SUE ADDRESS: CITY/STATE/ZIP <br /> LIMUES SITE/OWNER/PERMfT7 YES NO TANK TANK TANK TANK <br /> MFR/PERMTT SUBMITTED <br /> DI DI DI DI <br /> TYPE N9PECTTON PER 0 <br /> SITE COMPUTER• <br /> ---� PERI PERI PER I <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPEMTTOFUL TANK MAL MIK <br /> PERA T TO OPERATE 1 2 <br /> CHANGE N OONDRTORNS TO OPERATE 3 <br /> APPROVED OONSTTA)C'TION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 6 <br /> APPROVED MONnDR1NG SYSTEM 9 10 <br /> MONITORNG SYSTEM 11 12 <br /> APPROVED MONITOR FAEOUENCY U 14 <br /> L'GOFGTT'ORoNG RECORDS MANTANED 15 161 1 <br /> ACSS CASING SECURED 17 <br /> CEt22 <br /> PIP1fq 19*NENIORY RECONCIWIOTN 21' <br /> LANK CALKING 231 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCOLWENCE 27 <br /> AU261 <br /> SAMPLING 29' 30 <br /> APPROVED TANK REPAJAS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 37 34 <br /> SAFETY HAZARD 35. 36 <br /> CONDITIONS ABATED IF <br /> JI <br /> I <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 3B, 39 <br /> R- AMAABLF MWPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41' N2 <br /> POWER DISCONNECTED v <br /> OWNER/OPERATOR MONITORIFK a.R, ASi <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF nES10UAL MATERIALS j53 <br /> 47 <br /> F4"NC �9, <br /> FLA,mMASLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 52 G <br /> SAIAPL)NG 54 <br /> IMPROPER ABANDONMENT 551 fA <br /> T14E MAiKEO fTEMS REPRESENT VX)IA ONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS IwSr u,ViK P+E1 FOLLOWS. Doc) ft U ST R&MNOl� <br /> 57 <br /> LWOR <br /> ❑ M*iNORT ❑ No a >P¢ 4 - e .Y �RJS, Q uv <br /> PW6 UN LOCAL HEALTH DISTRI NSP RECEIVED BY: <br /> POST OFFICC BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH °R RECK <br />