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UNDERGROUl" TANK PROGRAM OFFICIAL INSPF^TION REPORT <br /> �. SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: oc INSPECTION DATE: 3- Y-`i3 <br /> SITE ADDRESS: -2 Li To CITY/STATE/ZIP sem } <br /> c <br /> CHANGES SITE YES NO TANK / TANK Z TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER r COMPUTER COMPUTER COMPUTER <br /> TY OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER# PER# PER # PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TAWCONTENIS n� Ary/ U6 <br /> MAJOR MINOR *..f4 Q a 22 —A�pq <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 (✓^ ✓ <br /> MONITORING RECORDS MAINTAINED 15 16 r <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 - - - <br /> INVENTORY RECONCILIATION 21 122 1 <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 /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED Em 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 T <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> of Z <br /> MAJOR 7 MINOR 58 NO 59 <br /> VIOL. VIOL LiVIOL.❑ <br /> OFFICE: INSP: EIV BY: <br /> TITLE: P E: RECK: <br /> HUT-3 ORIGINAL 5/m ©' <br />