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UNDERGROI "D TANK PROGRAM OFFICIAL INSP-CTION REPORT <br />SAN JOAOUIN HEALTH DISTRIC <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 4RR-349A <br />SITE NAME: <br />INSPECTION DATE: <br />SITE ADDRESS: �3a N <br />CITY/STATE/ZIP <br />S 4, "za-'e" <br />CHANGES SITE YES <br />NO <br />TANK <br />TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER <br />NUMBER <br />�150'O2 <br />NUMBER <br />NUMBER <br />TYPE OF INSPEGRON <br />SITE COMPUTER # <br />1</J ,/� <br />�1� 11 <br />PER#/(�0'O( <br />PER# <br />EF1—#- <br />PER# <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK TANK CON Nn <br />MAJOR MINOR _ <br />PERMIT TO OPERATE 1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE 3 <br />4 <br />APPROVED CONSTRUCTION 5 <br />6 <br />WRITTEN MONITORING PROCEDURES 7 <br />8 <br />APPROVED MONITORING SYSTEM 9 <br />10 <br />MONITORING SYSTEM 11 <br />12//I <br />/ <br />APPROVED MONITOR FREQUENCY 13 <br />14 <br />MONITORING RECORDS MAINTAINED 15 <br />16 <br />p <br />ACCESS CASING SECURED 17 <br />18 <br />PIPING 19 <br />20/ CU <br />INVENTORY RECONCILIATION 21 <br />22 <br />TANK GAUGING 23 <br />24 <br />APPROVED RESPONSE PLAN 25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />SAMPLING 29 <br />30 <br />APPROVED TANK REPAIRS 31 <br />_ <br />32 <br />" <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />SAFETY HAZARD 35 <br />36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL 138 <br />139 _ <br />FLAMMABLE VAPORS REMOVED 140 <br />ACCESS LOCATIONS SEALED 41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING 44 <br />45 <br />PERMANENT TANK CLOSURE <br />IIIIIIIIIIIIIkk- <br />REMOVAL OF RESIDUAL MATERIALS 46 <br />47 <br />PIPING 48 <br />49-_ ------ <br />_ <br />- <br />FLAMMABLE VAPORS REMOVED 50 <br />UNAUTHORIZED RELEASE 51 <br />52 <br />SAM P 53 <br />54_. <br />I ROPER ABANDONMENT 55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STAXUS4MWarlVIARK ONE) <br />FOL <br />- <br />59 <br />MAJOR 57 MINOR <br />NO <br />LJVIOL ❑ <br />_ <br />VIOL VIOL <br />OFFICE: <br />INSP: /�-/ � <br />RECEIVED <br />TITLE: <br />PHONE: <br />BECK: <br />HUT -3 ORIGINAL 5/88 O, <br />