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i <br /> I COUNTY NAME0 <br /> k I <br /> SITE NAME: A( INSPECTION DATE: .MIc��EA � S <br /> SITE ADDRESS: i CITY/STATE/ZIP QLD <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK icw GA 5 TANK I000 vJ.0 TANK -ic= CKAs TANK 3oO GA5 <br /> MFWPERMIT SUBMITTED <br /> TYPE OF NSPECTION SITE COMPUTER• PER I PER• PER PER• <br /> SM.DATE El(P.DATE EXP DATE EXP DATE <br /> OPERATIONAL TANK MAL IAN. <br /> PERMIT TO OPERATE 1 2 <br /> CHAWE N CONDITIONS TO OPERATE 3 4 <br /> APPROVED CIONSTRUICT1ON 6 6 <br /> VVRrMN MONITIORN(3 PROCEDURES T lel <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONIT10R*n SYSTEM 11 12 I <br /> APPROVED MONM)R FREOUENCY 13 141 F <br /> MONMORING RECORDS MAINTAINED 151 161 1 <br /> I ACGE3S CASH SECURED 17 18 <br /> i <br /> k PIPING 16 20 <br /> INVENVORY RECONCILIATION 21' 122 <br /> TANK GAUGANG 23241 <br /> APPROVED RESPnNSE PLAN 251 126i <br /> U NAUTHOMZED RELEASE OCCURRENCE 27 1281 <br />` SAMPLING 29` x <br /> APPROVED TANK REPAIRS 311 32" <br /> I UNAUTHORIZED RELEASES REPORTED 33 34' <br /> SAFETY HAZARD 351 26Jr <br /> CONornONS ABATED 3 <br /> 7 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 36, --fgI <br /> x <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 rA'5 <br /> 1 <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING 44, i <br /> PERMANENT TANK CLOSURE <br />{ REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING r&31 <br /> 491 <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 52 <br />{ SAMPUNG 54i IMPROPER ABANDONMENT 513 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED.AS <br /> 4 SYSTEMA STATUS(musr MARK Of<) n r <br /> MAJOR sT MINOR 58 <br /> r <br /> VKX- ❑ VIOL ❑ VIOL.� - - - <br /> a 909 IN LOCAL HEALTH DISTRI NSP-tl� � yl RECENED BY: <br /> POST OFFICE` BOX 2009 <br /> STOCKTON. CALIF. 95201 <br /> N: ENVIRON. HEALTH T7TLE ��� , c�.�, P}aNE_ "� <br />