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UNDERGROUND TANK PROGRAM OFFICIAL INSPE' ION REPORT f 0 F <br /> ,.AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # j <br /> PHONE NO. 468-3423 <br /> SITE NAME: -TO ��N P,r / INSPECTION DATE: <br /> SITE ADDRESS: JJ 3 6 5, 14�/� po h CITY/STATE/ZIP� ,i 7,C <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER /0 000 NUMBER (� Tv-v NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPU��T/E/R# PER # PER # II,, ER# PER# <br /> T EXP.DATE EXP.DATE^N' EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONreNrs <br /> MAJOR I MINOR <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 <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 38r42 <br /> FLAMMABLE VAPORS REMOVED 40 _ <br /> ACCESS LOCATIONS SEALED 41POWER DISCONNECTED OWNER/OPERATOR MONITORING 44 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 56 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED.AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR <br /> 57 <br /> 7MINOR 58 NO 59 <br /> VIOL. ❑ VIOL ❑ VIOL. <br /> OFFICE: INSP: Q RECEIVED BY: <br /> TITLE: �^ G PHONE: BECK: <br /> HUT-3 ORIGINAL B° <br />