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UNDERGROUND TAN 4ROGRAM OFFICIAL INSPELMON REPORT <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> SITE NAME CCnt P1 f'rl h; INSP DATE: ( _-, _ 7 <br /> SITE ADDRESS moo i K. Ivl cul n <br /> CHANGES SITE/OWNER/OPER 7 TANKS f TANK TANK TANK <br /> YES NO M.F.R. SUBMIT. ID M U leo ID M ID N ID N <br /> pER EXP 4)10 Coo G4L- PER M PER M PER M <br /> SITE CO P. p TYPE OF INSP EXP DATE 'EXP DATE EXP DATE <br /> /L/-3 <br /> 1 r► <br /> OPK ATIOKAL VIOLATIONS <br /> 1. Permit to Operate <br /> 2. Change in Cond. to Operate <br /> 3. Approved Construction I NIA <br /> 4. Written Monitoring Procedures <br /> S. Approved Monitoring System <br /> b. Monitoring System Operational <br /> 7. Approved Monitoring Frequency , <br /> B. Monitoring Records Maintained I M <br /> 9. Access Casing Secured I OK <br /> lO. Piping <br /> (� <br /> 11. Inventory Reconciliation <br /> 12. Tank Guaginq <br /> 13. Approved Response Plan <br /> 14. Unauthorized Release Occurrence <br /> - <br /> ` 1b. Approved Tank Repair@ <br /> 17. Unauthorized Releaass Reported <br /> 18 Safety Hazard <br /> 19. Conditions Abated <br /> TEWORA✓[IY CIlJSOM <br /> 20. Removal of Residual Materials <br /> 21. Flammable Vapors Removed <br /> 22. Access Locations Sealed <br /> 23. Power Disconnected <br /> 24. Owner/Operator Monitoring <br /> Y 14%hM r CLWORE <br /> 2S. Removal of Residual Materials L11/1/11 1JIL11ILLE.11117717 1111711177 <br /> 26. Piping <br /> 27. Flammable Vapors Removed <br /> 28. Unauthorized Release <br /> 29 Sampling <br /> 30. Improper Abandonment <br /> masked Ike.— represent violations and must be c rected as follows- <br /> 5_rx e f, r f� hnll6Xl <br /> c 'S! f► T zr_V -0-09 0 cC I� M?oL -Po <br /> r <br /> I V c ' Y1 Va I r o 5U + <br /> S © bi'lll O - S -9 7. <br /> UF' 'lc ': NSP: RECEIVED BY: <br /> SAN �QAr blN LOCAL HEALTH DI3TR' 1 <br /> POST 01-FICE F30X 2009 �)I.rnllt t-A_ Lf, f�-C-I'}k- Fo e- <br /> STOCKTON. CALIF. 95201 PHONE j TITU: <br /> ATTN. ENVIRON. HEALTH v —� <br />