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COUNTY NAME • / <br /> SITE NAME: ^« INSPECTION DATE i/ <br /> ,k,- <br /> SITE ADDRESS. % CITY/STATE/ZIP <br /> QW4GES SITE/OWNER/PERMIT? YES TANK TANK TANK TANK <br /> MFR/PERMIT SUBMITTED <br /> TYPE OF WSPECTION SfTE COMPUTER I U• ' ID 0 % ID 0 > D <br /> PER• PER PER• PER 0 <br /> LL l•(,C EXP.DATE EXP.DATE EXP.DATE EXP.DIVE <br /> OPERATIONAL UNK MAJ. MiN. <br /> PE "T TO OPERATE 1 2 <br /> CHANGE IN CONOITK)NS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION N 5 8 <br /> WRITTEN mONITOITING PROCEDURES N T 181 <br /> APPROVED MONITORING SYSTEM E 9 1101 <br /> MONITORING SYSTEM OPEk CWAL-E 11 1121 <br /> APPROVED MON TOR FREQUENCY N 13 1141 <br /> MONITORING RECORDS MAINTAINED E 151 A10 , <br /> ACCESS CASING SECURED N 171 1181 <br /> P1P1NG 191 1201 <br /> INVENTORY RECONCILIATION E 21' 22 , / <br /> NO <br /> TANK GAUG#4(3 E 231 1241 <br /> APPROVED RESPONSE PLAN N 25 28 <br /> UNAUTHCOZEO RELEASE OCCURRENCE 27 28 <br /> SAMPUNG 29 30 <br /> APPROVED TANK REPAIRS 3 t 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38, Ni <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41" 42 <br /> 1 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING "1 451 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 4t3 49' <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE "1 52 <br /> SAMPLING 531 541 <br /> IMPROPER ABANDONMENT 55 58 <br /> TI4E MARKED ITEMS REPRESENT V10LATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONEI FOLLOWS ��CI�C FT ICGLT�4J �I�FG rF'/ <br /> 57 58 59 <br /> MAJOR MINOR NO <br /> V10L V)OVKX- <br /> S R W6 N LOCAL HEALTH DISTR1 NSP: RECEIVED BY: <br /> POST OFFICE BOX 2009 <br /> STOCKTON. CALIF. 95201 w <br /> N: ENVIRON. HEALTH TITLE: PHONE: �" <br />