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UNDERGRO TANK PROGRAM OFFICIAL INS ---TION REPORT <br />AN JOAQUIN HEALTH DISTRIC <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON,CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: Go gs I- I INSPECTION DATE: �z/Z$ 9.L <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />38 39 <br />40 <br />41 42 <br />M 43 <br />44 45 <br />SITE ADDRESS: •�'�� ��-��L�� <br />CITY/ STATE /ZIPGo/�/`� <br />CHANGES SITE/OWNER/PERMIT? YES <br />FORM A AND/OR B SUBMITTED? <br />NO <br />TANK/o. cr.-,c> <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK /,.p����-� <br />COMPUTEI��""'"/ <br />NUMBER fjeZ-- <br />PER # <br />EXP. DATE <br />TANK/a, 000 <br />COMPUTE <br />NUMBER VV�S <br />PER # <br />EXP. DATE <br />TANK 4,P0& <br />COMPUTER COMPUTER w"I. <br />NUMBER -27� <br />PER # / <br />EXP. DATE <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TANK CONTENTS <br />MAJOR MINOR <br />1 2 <br />3 4 <br />5 6 <br />7 8 <br />9 10 <br />11 12 <br />13 14 <br />15 16 <br />17 18 <br />19 20 <br />21 22� <br />23 24 <br />- <br />25 26_- <br />27 28 <br />29 30 <br />31 32 <br />33 34 <br />35 36 <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />38 39 <br />40 <br />41 42 <br />M 43 <br />44 45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />46 47 <br />48 49 <br />50 91 <br />51 52 <br />53 54 <br />55 <br />56 <br />SYSTEM STATUS (MUST MARK ONE) <br />MAJOR j57 MINOR 58 <br />VIOL. L'J VIOL. ❑ <br />OFFICE: <br />HUT -3 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />59 <br />NO <br />_VIOL ❑ <br />INS P. G, <br />TIl LE: <br />RECEIVED BY: <br />,4fA11-,e4 7Z:l <br />PHONE: BECK: <br />5/88 0 m <br />