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UNDERGROI "'D TANK PROGRAM OFFICIAL INS-CTION REPORT <br />-aw SAN JOAQUIN HEALTH DISTRIC`- <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 rnuury y <br />OPERATIONAL TANK <br />-JVLJ <br />vvv... • .. <br />REMOVAL OF RESIDUAL <br />SITE NAME: 11/04V �� <br />MINOR <br />PERMIT TO OPERATE <br />INSPECTION DATE: <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />SITE ADDRESS: IZZ <br />6 <br />CITY/STATE/ZIP <br />7 <br />8 <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO <br />TANK veA <br />MONITORING SYSTEM <br />TANK ;c6, --P <br />TANK tie <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />14 <br />COMPUTER <br />15 <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />19 <br />NUMBER <br />INVENTORY RECONCILIATION <br />NUMBER <br />NUMBER <br />NUMBER <br />D� <br />24 <br />APPROVED RESPONSE PLAN <br />PER # <br />26 <br />PER # <br />PER # <br />PER # <br />6� <br />29 <br />30 <br />EXP. DATE <br />31 <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />TANK <br />CONTENTS <br />REMOVAL OF RESIDUAL <br />MAJOR <br />MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />/ <br />37 <br />TEMPORARY TANK CLOSURE <br />46 <br />REMOVAL OF RESIDUAL <br />38 39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />55 <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />46 <br />47 <br />48 <br />49 <br />50 <br />51 <br />52 <br />53 <br />54 <br />55 <br />56 <br />SYSTEM STATUS (MUST MARK ONE) <br />57 5B <br />MAJOR MINOR <br />VIOL. VIOL. Ll <br />59 <br />NO <br />VIOL. <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />L,�.��1s. <br />RECEIVED BY: <br />PHONE BECK: <br />8- PJ33 <br />HUT -3 ORIGINAL 5/88 6 <br />