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UNDERGROUP" TANK PROGRAM OFFICIAL INSPf -TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY ME I 1 �j'VSTOCKTON, CA 95205 COUNTY # <br /> OQ l.(,I n PHONE NO. 468-3423 <br /> SITE NAME: S nchOY0. Q. INSPECTIONDATE: `Z) vli? <br /> SITE ADDRESS: <br /> L gffo ULD ,ByWk a ole }qcQ CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES O TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? /' 0 COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OFF INSPECTION SITE COMPjU�TEE�77R# PER <br /> # PER# PER# PER# <br /> '5aY�'1 Q� (�01. EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> W K COWEN "' <br /> OPERATIONAL TANK <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 /> CONDfTIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL &44t <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED <br /> 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 /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: fir' Led . <br /> -- <br /> m m rTa n <br /> MAJOR 57 MINOR -- NO X59 Le - <br /> VIOL. ❑ VIOL. VIOL ' <br /> OFFICE: INSP: RECEIVED BY: <br /> C ' Lt U ¢-('- <br /> TITLE: (fa rPHONE: BECK: <br /> ORIGINAL <br />