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UNDERGROU*,TANK PROGRAM OFFICIAL INSPIPTION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME ii STOCKTON, CA 95205 <br /> L711J VOa G11N PHONE NO. 468-3423 COUNTY # <br /> SITE NAME: �1A7� 2 Com N INSPECTION DATE: <br /> k� 1. <br /> SITE ADDRES WM fr CSP / oQ CITY/STATE/ZIP sioc k40r , Gf} <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> / PER# PER# PER# PER# <br /> EXP.DATE EXP.DATE 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 /> _- ... ___ <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 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <br /> 9 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED 2 <br /> POWER DISCONNECTED 3 <br /> OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPC{y��� <br /> NG 48 <br /> FLAMMABLE 0 MMABLEVAPORSREMOVED 49 I I We ` qy)Y Mike 0'ri <br /> UNAUTHORIZED RELEASE 51 52 I / 1 I <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: I B IINeYh I N Save+ Ie5 W cfa +a�'e... <br /> It IINc o n+ Pq om+16A.) <br /> MAJOR 57 MINOR 58 NO 59 veel was IN 2xpelltn�' Cow71J <br /> VIOL. El VIOL. ❑ VIOL F] <br /> OFFICE: INSP:ekeAfIES- ti Lln,•t RECEIVED BY: <br /> TITLE: �J N 1"IFaf10A r3 PHONE: PECK: <br /> HUT-3 ORIGINAL sten OM <br />