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UDI1 pGsNoAQOFFICIAL R RT <br /> 1UNEPUBC HEALTH SERVICES <br /> ENVIRONMNTAHEATDIVISION <br /> 445 Joaquin Street <br /> Melling Addreae: P.O.Box 388 COr #� <br /> COUNTY NAME` q Stockton, <br /> 8-34201 �� ^ <br /> SITE NAME: V D �SITE <br /> DATE: <br /> SITE ADDRESS: 3 1.6 �r CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES N TANK � TANK TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER # PER# PER# <br /> �/ le Real" o�31 p 3a-- EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK M34 <br /> s <br /> R t` <br /> PERMIT TO OPERATE , <br /> CHANGE IN CONDITIONS TO OPERATE APPROVED CONSTRUCTION WRITTEN MONITORING PROCEDURES APPROVED MONITORING SYSTEM MONITORING SYSTEM <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 / <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> �;nQiricio� R,es,Qo>7s;bil; <br /> TEMPORARY TANK CLOS E <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS Itr <br /> --- <br /> PIPING <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE SAMPUNG IMPROPER ABANDONMENT EPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) a e.MAJOR 57 MINOR 58 NO59 ��� <br /> VIOL VIOL ❑ VIOL,❑ <br /> OFFICE: INSP: f kE6E+VI <br /> � � Dn v <br /> TITLE:SGN�D 17 Sao y' RECK: <br /> HUT-3 White-Original Yellow-Owoefa Copy Pink-File Cnnv - <br />