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UNDERGROUI TANK PROGRAM OFFICIAL INSP' TION REPORT <br /> USAN JOAQUIN HEALTH DISTRICT -w <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME CJ STOCKTON, CANO. 46 -3423 COUNTY # 3 <br /> PHONE NO. 468-3423 <br /> SITE NAME: �a t INSPECTION DATE: <br /> SITE ADDRESS: 5000 6, CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YE NO TANK D� TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TVPK INSPECTI¢�N SITE COM jTER�� EXP.DATE EXP.DATE EXR.DATE EX DATE <br /> OPERATIONAL TANK R23 IIVn TANK CONTENTS <br /> MAJOR I 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 1 139 <br /> FLAMMABLE VAPORS REMOVED W43 <br /> ACCESS LOCATIONS SEALED 2POWER DISCONNECTED OWNER/OPERATOR MONITORING 5 <br /> ERMANENT TANK CLOSURE ` g. Fp <br /> .�.:s-,..,f, <br /> REM RIALS 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 ITE EPR E T V10 IONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL LJVIOL LJVIOL <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: / PHONE: BECK: <br /> HUT-3 ORIGINAL siae ON. <br />