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UNDERGROUF- TANK PROGRAM OFFICIAL INSPF'TION REPORT <br /> ,--,SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME sToc CA 95225 COUNTY # 39' <br /> PHONEE NO.NO. 468-3423 <br /> SITE NAME: �ST /V Gt M c3/�L�T�S INSPECTION DATE�a 2-7 / <br /> SITE ADDRESS: '? as �L �� CITY/STATZIEO_/ <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK Z TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTE. COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER(',, ^s C NUMBER Q_s NUMBER D 8.Sk UMBER <br /> /PU PER# PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK COWENn <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 If7 118 <br /> PIPING 19 120 1 _ <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 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL r3388 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED ME 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 9ORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: LOMAJ <br /> VIOLOR ® VIOLO.R ❑ VIOL❑ <br /> f 1116r <br /> OFFICE: INSP: R IVED Y: <br /> TITLE: 45'. PHO <br /> N 8z 41q 77 RECK: <br /> HUT-3 ORIGINAL seas O, <br />