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UNDERGROUNf TANK PROGRAM OFFICIAL INSPECTION REPORT 6 41I� <br /> AN JOAOUIN HEALTH DISTRICT �. <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 CUUNTI # j q <br /> PHONE NO. 468-3423 <br /> SITE NAME: CbRR / OLC r,G� ru !� ACSPECTION DATE: S� f <br /> SITE ADDRESS: 0 / ryC— C/ GG�d, oITY/$TATE/ZIP 64 q47 3 4 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUT COMPUTER <br /> TYPE OF INSPECTION// SITEicOMP <br /> `UTER# NUMBE7,16V'G NUMBER NUMBE�7`.�•;1 NUMBER/D/�j/ <br /> ���/✓'`j �7 av- <br /> EXP.DATE AI EXP. EXP.DATE EXP.DAYS <br /> OPERATIONAL TANK m KCOWEN <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1X 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 78 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 _ <br /> MONITORING RECORDS MAINTAINED 15 16 _ 01 <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 /> TEMPORARY TANK CLOSURE <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 r46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 5EX 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL VIOL. ❑ V. El <br /> Q L d <br /> OFFICE: INSPvtC RECEIVED BY: L 6;1 <br /> �pu57;tle <br /> oud r $ <br /> X03 TITLE: nG.,1� PHONE: BECK: <br /> HUT-3 ORIGINAL sine ©, <br />