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• UNDERGROUIOTANK <br /> JOAQUINPROGRAM REPORT <br /> HEALTH D STRICTIP <br /> A <br /> 1601 E. HAZELTON AVE. COUNTY # <br /> STOCKTON, CA 95205 <br /> COUNTY NAME PHONE NO. 468-3423 <br /> INSPECTION DATE: 3 SITE NAME: <br /> SITE ADDRESS: 731 CITY/STAT / IP <br /> CHANGESSITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM AAND/ORB SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER I, NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# 00fS%o/ PER # PER# PER# <br /> 'pY7m1-11.f �Q�� EXP DATE EXP DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK 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 /> ----- - " - _. <br /> '" --- <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 -.. <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 - - <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING - <br /> 48 49 _---------_� <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 — """ ---`------ <br /> SAMPLING 54 -. _ -. ____.._._ ----- <br /> IMPROPER <br /> _..-- ---__-----.... <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 59 <br /> MAJOR 57 MINOR 58 VOL.❑ <br /> VIOL. ❑ VIOL <br /> OFFICE: INSP: Q� RECEIVED BY: <br /> ,on a//eI A Ando L ih <br /> S PHONE: , ,,/ RECK: <br /> TITLE: W&-3 7l W d <br /> siea ©, <br /> HUT-3 ORIGINAL <br />