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UNDERGROUP TANK PROGRAM OFFICIAL INSPF"TION REPORT <br />'AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. (� <br />COUNTY NAME STOCKTON, CA 95205 COUNTY #z <br />PHONE NO. 468-3423 <br />SITE NAME: S 7 INSPECTION DATE:3/ / <br />SITE ADDRESS: CITY/STATE/ZIP �,,31 <br />CHANGES SITE/OWNER/PERMIT? NO <br />FORM A AND/OR B SUBMITTED? <br />TANK <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK G 2• <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK p <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK b <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />TYPE OF INSPECTION <br />n <br />SITE COMPUTE # <br />L y <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 />51 <br />SAMPLING <br />53 <br />MAJOR MINOR <br />1 2 <br />55 <br />3 4 <br />57 <br />59 <br />MAJOR MINOR <br />o <br />5 6 <br />VIOL. VIOLVIOL. <br />7 8 <br />9 10 <br />11 12 <br />_ <br />_ <br />13 14 <br />15 16 <br />17 18 <br />19 120 <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 <br />40 <br />41 <br />44 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />PIPING <br />48 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />SAMPLING <br />53 <br />IMPROPER ABANDONMENT <br />55 <br />SYSTEM STATUS (MUST MARK ONE) <br />57 <br />59 <br />MAJOR MINOR <br />o <br />NO <br />VIOL. VIOLVIOL. <br />39 <br />/77 <br />42 <br />43 <br />45 <br />47 <br />49 <br />52 <br />54 <br />56 <br />THE MARK <br />FOLLOWS: <br />OFFICE: INSP- <br />TITLE: <br />HUT -3 <br />ORIGINAL <br />SENT VIOLATIONS AND MUST BE CORRECTED AS <br />RECEIVED BY: dp <br />s�C <br />PHONE: <br />BECK: <br />5/88 O <br />