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UNDERGROUN" TANK PROGRAM OFFICIAL INSPI TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT '-` <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMEN N STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: Ado M Nkl3.'( INSPECTION DATE: 5 <br /> SITE ADDRESS: l y R r bar-) CITY/STATE/ZIP S„i,e-'r-�46N <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK 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 /> II ON I EXP.DATE EXP DATE EXP.DATE EXP DATE <br /> OPERA ION L TANK TANK CON NM <br /> MAJOR FMINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 418 -APPROVED CONSTRUCTION 5 WRITTEN MONITORING PROCEDURES 7 <br /> APPROVED MONITORING SYSTEM 9 MONITORING SYSTEM 11 <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 29 130 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> I <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 138 39 7- 7- 7:----:� 7 FLAMMABLE VAPORS REMOVED40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 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 CORRECTED AS <br /> SYSTEM STATUS(MU5hNo VjO Otic FOLLOWS: C�e�� 1 t � l I <br /> W- '700 e- <br /> No)OJ CitAPI Nq rpr,/l . *MINORMAJOR AIACAF <br /> ein <br /> ftmaw(z <br /> VIOL. VIOL 1:1 VOL.El le u a N <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: E*� PHONE: RECK: <br /> HUT-3 ORIGINAL siee ©, <br />