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UNDERGROUND ` NK PROGRAM OFFICIAL INSPECT'7N REPORT <br /> yon <br /> ,,N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA <br /> COUNTY NAME PHONE NO. 4 8934203 COUNTY # <br /> SITE NAME: Df�2d-- ez INSPECTION DATE: <br /> SITE ADDRESS: ITY/STATE/ZIP S�2G't;, <br /> CHANGES SITE/OWNER/PERMIT? YES NO NK TANK Z TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER OMPUTER 040rC <br /> OMPUTE COMPUTER <br /> NUMBER fes'� NUMBEbID� NUMBEQ0 00 NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER #�j�!/.(� PER# IA Y PER# d/e$Ci/ PER# <br /> Pn/N 0 f Za EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK R MINOR MAJOR 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 W43 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <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 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJO57 INOR 58 NO 59 <br /> OL. VIOLl VOL. <br /> OFFICE: INSP:/ RECEIVED BY: <br /> TITLE: A PHONE: RECK: <br /> HUT-3 ORIGINAL 51W 01 <br />