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UNDERGROUN NK PROGRAM OFFICIAL INSPEWN REPORT <br /> JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # 9 <br /> COUNTY NAME PHONE NO. 46.8-3423 <br /> SITE NAME: (lo L ©� O 0 � INSPECTION DATE: <br /> SITE ADDRESS: CITY/STATE/ZIP or, 64 41 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK Z TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER _ COMPUT �c�j,� , y NUMBER NUMBER NUMBER � "�N) <br /> TYPE F INSPECTION SITE COMPUTER# PER# U O( PER # G Q PER# PER# <br /> "- jJ� Z EXP DATE [P�t XP-D EXP DATE EXP.,DATE <br /> OPERATIONAL TANK TANK CONTENTS <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 /> CONDITIONS ABATED 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 m 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46-747 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 _ -- <br /> SAMPLING53 54 --� <br /> IMPROPER ABANDONMENT 55 56 � <br /> THE MARKED ITWS REPRESENT VIOLATIONS AND UST BE CORRECTID AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 59 <br /> NO <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE: INSP / RECEIV BY: <br /> TITLE: ;] PHONE: RECK- <br /> 5188 (D m <br /> HUT-3 ORIGINAL <br />