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UNDERGROUND -ANK PROGRAM OFFICIAL INSPECTION REPORT <br /> 4 JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. 'f <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: ��d a tff, INSPECTION DATE:6�tc� Z <br /> SITE ADDRESS: CITY/STATE/ZIP yi <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK U' TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> 1587 EXP.DATE' EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS i,.... - 3% '� i �,,� <br /> OPERATIONAL TANK <br /> MAJOR MINOR G' '. z ..:-.. ...: , <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 /> A � <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 CLOSURES , <br /> fie. : � s <br /> �. <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 t <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 k <br /> SYSTEM STATUS(MUST MARK ONE) "i <br /> FOLLOWS: <br /> 59 <br /> MAJOR 57 MINOR <br /> MINOR Ll Imli <br /> VI <br /> VIOL. VTOL. VIOL.LJl` <br /> OFFICE: INSP: RECEIVED BY: <br /> al/� <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL 5188 ©M <br />