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UNDERGROU' TANK PROGRAM OFFICIAL INSF -TION REPORT <br /> USAN JOAQUIN HEALTH DISTRICI- <br /> (c'_- 1601 E. HAZELTON AVE. i <br /> COUNTY NAME �(j y1-{{- STOCKTON, CA 95205 COUNTY # Q <br /> �l�li PHONE NO. 468-3423 Fl�T <br /> SITE NAME: Pr .f-&fS Io0*u Food D 5�rl bu iDt„S/Z4 c - INSPECTION DATE: fa acf�� <br /> SITE ADDRESS: oO/ '1�- Fera CITY/STATE/ZIP SAjGk-`(rhl, 6-5 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK Q TANK ITANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER INUMBER NUMBER <br /> // 07 <br /> / 0 PER# /107 PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP..DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> 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 RESIDUALW4445 <br /> 39 <br /> FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS VAPORS REMOVED 50 _ <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 - 77 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FO QWS: I — Q 'e e l <br /> 58 (•.:a (fYL I 1 Yl <br /> MAJOR 57 MINOR NO 59 <br /> VIOL. LlVIOL ❑ VIOL 41 <br /> 6 PVi <br /> OFFICE: INSP: RECEIVED BY: <br /> Oto a' 244-e4 pM'CjQd <br /> TITLE: rte, ) � J PHONE: RECK: <br /> HUT-3 `��ORIGINAL <br />