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UNDERGROUND TANK OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> Meiling Address: P.O.Box 388 <br /> COUNTY NAMES N n� <br /> Stockton.468-3420 01-0388 COUNTY # <br /> SITE NAME: J µ INSPECTION DATE: <br /> SITE ADDRESS: C) 14140 CITY/STATE/ZIP S <br /> CHANGES SITE/OWNER/PERMIT? YES NO WTANK (J TANK (�� TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER L NUMBER /` NUMBER NUMBER <br /> �/� 7 . PER # C�1(— PER# PER# PER# <br /> lel-�- EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK n Kcorne ire; <br /> MAJO MINOR ., <br /> PERMIT TO OPERATE IV 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 B <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 ,9 ✓ 20 <br /> - ✓ PUBLIC HEALTH SERVICES <br /> INVENTORY RECONCILIATION 21 22 __ _ _ _ '� <br /> TANK GAUGING 23 24 -_ ._-_- -_--_-- " . SAN JOAQUIN COUNTY <br /> APPROVED RESPONSE PLAN 25 26 " <br /> UNAUTHORIZED RELEASE OCCURRENCE 2728 '"iVafA, MICHAEL P. KITH, R.E.H.S. <br /> SAMPLING 29 30 Senior Registered Environmental Health Specialist <br /> APPROVED TANK REPAIRS 31 32 <br /> Environmental <br /> UNAUTHORIZED RELEASES REPORTED 33 34 Health Division (445 N.San Joaquin St.) <br /> SAFETY HAZARD 35 36 .__ (209)468-3444 P.O.Box 2009 <br /> CONDITIONS ABATED 37 FAX(209)464-0138 Stockton,CA 95201-2009 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W43 <br /> _ <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 1 <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) Cd4p c-Ad lllJ'l' /rZM -� ear' a / J <br /> F LLOWS: <br /> T w L� uti� �/ �-58S <br /> MAJOR 57 MINOR NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ 157 <br /> - - <br /> ssw y X00 w.-� s ✓' w-v 4 <br /> OFFICE: INSP: l RECEIVED <br /> TITLES r. A C J'/L PHONE: Z CO PECK: <br />