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UNDERGROUNf TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> ,,.AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME ��++��� / p yy STOCKTON, CA 95205 COUNTY #3 <br /> .�I JO uJN ('ouN? PHONE NO. 468-3423 <br /> SITE NAME: INSPECTION DATE: %1 z <br /> .war tpOdJ c Ori <br /> SITE ADDRESS: OJBO S � R CITY/STATE/ZIP f;;F^a C4 <br /> CHANGES SITE/OWNER/PERMIT? C YES NO TANK f TANK Z TANK 3 TANKS S <br /> FORM A AND/OR B SUBMITTED?� COMPUTER COMPUTER COMPUTER COMPUT <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE INSPpECTION._/ SITE COMPUTER# PER# PER# PER# PER# <br /> �G9V� /Ct /S EXP.DATE EXP.DATE EXP.DATE EXP.DAT <br /> OPERATIONAL TANK TANKcoNn¢NTs <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 - <br /> CHANGE IN CONDITIONS TO OPERATE 3 <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 25 126 <br /> UNAUTHORIZED RELEASE OCCURRENCE 2728 1 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 132 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED V1,l, 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 _ <br /> FLAMMABLE VAPORS REMOVED 40 <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 <br /> PIPING 48 <br /> FLAMMABLE VAPORS REMOVED 50-- <br /> UNAUTHORIZED <br /> UNAUTHORIZED RELEASE 51 _ <br /> SAMPLING 53 547 <br /> IMPROPER ABANDONMENT 55 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: sp*- <br /> MAJORVI5❑ MINOR NO 7 58 EV <br /> OL. VIOL. VIOLEV <br /> OFFICE: INSPn �s �uN, RECEIVED BY: <br /> TITLE: !�' RES PHONE: BECK: <br /> HUT-3 ORIGINAL siae OM <br />