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COUNTY NAME <br /> SITE NAME. INSPECTION DATE: <br /> S(TE ADORESS: �f / �fG CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NQ-, TANK TANK TANK TANK <br /> MIFR/PERMfT SUBMITTED <br /> TYPE Of R4SPECT10N SITE COMPUTER• PER 0 PER i PER i PER <br /> Fpc4U — = ZZ� EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK MAJ. MIN. <br /> PER*XT TO OPERATE 1 ", 2 A <br /> t 0 <br /> CHANGE IN OOND(TIONS TO OPERATE 3 a <br /> APPROVED CONSTRUCTION N 5 8 <br /> WRITTEN MONfTORING PROCEDURE SN 7 8 <br /> APPROVED MONfTORING SYSTEM E 9 10 <br /> MOWORM SYSTEM OPERtTiONAL—E 11 12 <br /> APPROVED MONITOR FREQUENCY N 13 14 <br /> MON"URM RECORDS MAINTANJED E 15 18 'z <br />�j ACCESS CASING SECURED N 17 1181 <br />�+ PIPING 19 20 <br /> PiVENTORY RECONCILIATION E 21' 22 <br /> TANK GIUIGIMG E 23 24 <br /> APPROVED RESPONSE PLAN N 25 28 <br /> UNAUTNORIZEO RELEASE OCCURRENCE 271 28 <br /> SAMPLING 291 30 <br /> APPROVED TANK REPAIRS <br /> tE <br /> 32UNAUTNORIZEO RELEASES REPORTED 34 <br /> SAFETY HAZARD 35. 36 <br /> CON0rTIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38, 39 <br /> FLAMMABLE VAPORS REMOVED t0 <br /> —VNIXINIA, <br /> ACCESS LOCATIONS SEALED 41 a2 <br /> POWER DSCONNECTEO 43 <br /> OWNER/OPERATOR MONITORING 44,045 I <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 41-,i 41 ' <br /> PIPING a8 49 <br /> FUMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPUNG 53 -11,41' <br /> IMPROPER ABANDONMENT 55' 58 <br /> PIE MARKED ITEMSREPRESENTVIOLATION^SAND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST►AMK ONEI FOLLOWS <br /> _ 57 58 59NO <br /> INCII <br /> V10L- Ej MMOL_ VIOL <br /> SAPW6 FtPN LOCAL HEALTH DISTRI NSP: RECEIVED BY: <br /> POST OFFICC 13OX 2009 <br /> STOCKTON. CALIF. 95201 <br /> AJTN: ENVIRON. HEALTH TITLE: �. P♦IONE: IRECK <br />