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UNDERGROUt " TANK PROGRAM OFFICIAL INSP-'TION REPORT <br />USAN JOAQUIN HEALTH DISTRICT <br />J 1601 E. HAZELTON AVE. <br />COUNTY NAME /� y STOCKTON, CA 95205 COUNTY # �/1 <br />lt.{ 6 PHONE NO. 468-3423 <br />HUT -3 ORIGINAL <br />5/88 Q9' <br />II <br />SITE NAME: <br />INSPECTION <br />TION DATE:Yw`e 69-'23 -q3 <br />SITE ADDRESS: <br />0 I <br />CITY/STATE/ZIP 95&9CHANGES <br />SITE/OWNER/PERMIT? YES <br />NO <br />TANK p( <br />TANK OZ TANK TANK <br />FORM A AND/OR B SUBMITTED? NO <br />COMPUTER <br />COMPUTER COMPUTER COMPUTER <br />NUMBER (QK— NUMBER O IL NUMBER NUMBER <br />Ty OF INSPECTION SITE COMPUTER # <br />'+I� 16415 <br />PER # , ^ PER # i 1 L PER # PER # <br />V• V • • <br />V <br />EXP. DATE <br />EXP. DATE EXP. DATE EXP. DATE <br />OPERATIONAL TANK TMK CONreNrs <br />MAJOR MINOR <br />a.,: ,.:• 2 .. ' <br />PERMIT TO OPERATE 1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE 3 <br />4 <br />_ <br />APPROVED CONSTRUCTION 5 <br />6 <br />WRITTEN MONITORING PROCEDURES 7 <br />8 <br />APPROVED MONITORING SYSTEM 9 <br />10 <br />✓ <br />I% <br />MONITORING SYSTEM 11 <br />12 <br />✓ <br />✓ <br />APPROVED MONITOR FREQUENCY 13 <br />14 <br />__ <br />v, <br />✓ <br />MONITORING RECORDS MAINTAINED 15 <br />16 <br />ACCESS CASING SECURED 17 <br />18 <br />_ <br />PIPING 19 <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />E37 <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />_ <br />SAFETY HAZARD <br />_ <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />Xo <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />W4445 <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 46 <br />47 <br />PIPING 48 <br />49 <br />FLAMMABLE VAPORS REMOVED 50 <br />— <br />UNAUTHORIZED RELEASE 51 <br />52 <br />SAMPLING 53 <br />54 <br />IMPROPER ABANDONMENT 55 <br />56 <br />THE MARKED ITEMS REPRESE VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />57 58 59 <br />MAJOR MINOR NO <br />❑ ❑ <br />VIOL02 VIOL VIOL <br />OFFICE: <br />INS a'n <br />/0 <br />RJIVED BY, � <br />TITLE: R <br />E� <br />l <br />PHONE: <br />BECK: <br />HUT -3 ORIGINAL <br />5/88 Q9' <br />II <br />