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CIAL <br /> u*ERGROUND TANK NACU N PUBLIC HEALTH SER ICES <br /> RE ORT <br /> SAN ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San JoaquinP.O Street COUNTY # n <br /> � Melling Addreae: P.O.Box 388 uun' 7 <br /> � Stockton,88742001-0388 p <br /> COUNTY NAME c ✓ y INSPECTION DATE: <br /> SITE NAME: Fl l r <br /> �ri»1�M �e <br /> 1 ��.uyv CITY/STATE/ZIP <br /> '' pati Gl4 <br /> SITE ADDRESS: 02 µ 7 - It r H TANK TANK <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK <br /> COMPUTER COMPUTER <br /> COMPO R COMPUTER NUMBER <br /> FORM AAND/OR B SUBMITTED? NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION ftX� SITE COMPUTER f R_# PER <br /> DATE PER <br /> DATE EXP.DATE PER <br /> DATE <br /> a. TRNK reYna,J ,Z C/D <br /> XM <br /> OPERATIONAL TANK R <br /> MAMAJORJOR MINNOOR <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 �e <br /> MONITORING RECORDS MAINTAINED 15 16 y� / <br /> ACCESS CASING SECURED 17 18 E111 D 9 jz--/Q <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 2q <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 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL e45 <br /> - - <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS [c] <br /> PIPING <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE <br /> SAMPLING <br /> IMPROPER ABANDONMENT <br /> SYSTEM STATUS(MUST MARK ONE) THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> FOLLOWS: <br /> MAJ57 58 59 <br /> OL�R ❑ MINOR ❑ VNO <br /> IOL.❑ _ <br /> OFFICE: INSP: i ECEIVED BY: <br /> TITLE:Sj5N/Opt 1 HS PHONE: RECK: <br /> HUT-3 White-Original Yellow-Owner's Copy Pink-File Copy <br />