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UNDERGROUNn TANK PROGRAM OFFICIAL INSPF ^TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT., <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 205 <br /> PHONE NO. 468-3423 COUNTY # <br /> SITE NAME: Cov l X�'Don C�- ` INSPECTION DATE: <br /> SITE ADDRESS: dal CITY/STATE/ZIP <br /> �SC4 �Ovl <br /> CHANGES SITE YES NO TANK TANK Z TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER# PER# PER# PER # <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK IANK CONTENT <br /> MAJOR MINOR O' �i1' � ✓ a O� r! <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 IT- <br /> WRIT-TEN MONITORING PROCEDURES 7 8APPROVED - <br /> __— <br /> 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 APPROVED -- <br /> TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 4 <br /> SAFETY HAZARD 35 - <br /> CONDITIONS ABATED 37 - <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL V43 <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 - <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 - <br /> AMPUNG 53 54 <br /> 1PROPER ABANDONMENT 55 -!;F— <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> M STATUS(MUST MARK ONE) FOLLOWS: <br /> 5�7 MINOR NO 58 59 <br /> VIOL ❑ VIOL❑ <br /> INSc j ` CEI BY: <br /> Ila <br /> TITLE: 1�5� ONE: RECK: <br /> ORIGINAL 5/e O, <br />