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UNhRGROUND TANK OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.Sen Joaquin Street <br /> mailington,CAddress: P.O.Box 8 39"- <br /> SITE <br /> COUNTY NAME stppkton�-3420ot-ossa COUNTY # <br /> NAME: T TO9 # /W5 qq <br /> 5 / INSPECTION DATE: <br /> SITE ADDRESS: i50 Z N, CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK �D� TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUT COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER Q/ NUMBER Q y NUMBER Q NUMBER <br /> PER# PER# PER # PER# <br /> V UU EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANKCONTEN <br /> M0.10R 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 18 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING --- -- <br /> 23 24 <br /> APPROVED RESPONSE PLAN -- -- <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 � — <br /> SAMPLING 29 30 --- -- ----- - <br /> APPROVED TANK REPAIRS31 — — --- " <br /> 32 <br /> UNAUTHORIZED RELEASES REPORTED P37 <br /> SAFETY HAZARDCONDITIONS ABATED j___ <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <br /> FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> PEOMANEN TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> IPI 48 49 <br /> MMABLE VAPORS REMOVED,." BE <br /> 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPUNG 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 /> MAJOR 57 MINOR 58 NO �q59'�/ <br /> VIOL. ❑ VIOL. E] VIOL IC)1 <br /> OFFICE: INSP:,4r4 RECEIVED BY: <br /> TITLE: fJ PHONE RECK: <br /> HUT-3 White-Original Yellow-Owners Copy Pink�Co <br /> FileCopy <br />