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COUNTY NAME <br /> SITE NAME: INSPECTION DATE: <br /> 7 L S T0,U �60 � �$ <br /> SITE ADDRESS:� Aaru 6- AljZ, CITY/STATE/ZIP Sn�� <br /> CFiAN(iES SITE/OWNER/PERMIT? YES C NO TANK TANK TANK TANK <br /> MFR/PERMIT SUBMITTEDq• j ID• Z. q• > 10# <br /> TYPE OF INSPECTION SITE COMPUTER♦ PER I PER• PER• PER• <br /> 0 UTI N F--7- ( z l( EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL.TANK htAJ MIN. <br /> PERMIT TO OPERATE 1 121 <br /> CHANGE N CONDITIONS TO OPERATE 5 4 <br /> APPROVED CONSTRUCTION N a 8 <br /> WRITTEN MONITORING PROCEDURES N 7 a <br /> APPROVED MONITORING SYSTEM � 'I 9 10 _ <br /> moNITORNOSYSTEM OPEKATICU.IA�E 11 12 <br /> APPROVED MONITOR FREQUENCY N I 1J 14 <br /> MONITORING RECORDS MANTANEDE is 1a 7 <br /> ACCESS CASINO SECURED/�/ 17 19 <br /> PIPING V z,Oz tj x 0l—; 19 20 <br /> INVENTORY RECONOUATION E 21' 22 fel NO Al 1 <br /> TANK GAUGING E 23 24 <br /> APPROVED RESP"!NSE PLANN 25 2a <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 2B <br /> SAMPLING 29' 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD J5, 3a <br /> CONDITIONS ABATED J7 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 3B 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41! i2 <br />+`l POWER DISCONNECTED 4 <br /> OWNER/OPERATOR MONITORING 44, f5 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 4a• 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 50 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONEI FOLLOWS: R - 2 <br /> I <br /> VIOL ❑ VOL 0� VIOL❑ T �- <br /> S WhYMN LOCAL HEALTH DISTRI NSP•, CENED BY; <br /> POST OFFICE BOX 2009 �� <br />" ti 4[LTc� <br /> STOCKTON. CALIF. 95201 <br /> AJTN: ENVIRON. HEALTH TITLE: �}j�l }� " f <br /> C— <br />