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UNDERGROUhWNK PROGRAM OFFICIAL INSPECTION REPORT <br /> N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTONCA 95205 <br /> PHONE NO.468 3423 COUNTY # �9 <br /> SITE NAME: <br /> INSPECTION DATE: 6 <br /> SITE ADDRESS: CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO ANK <br /> O 3 TANK d TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECT'IO 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 /> 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 '"- - <br /> 29 30 <br /> APPROVED TANK REPAIRS 31 32 -- <br /> UNAUTHORIZED RELEASES REPORTED 33 34 - - -- -- <br /> SAFETY HAZARD 35 36 - --CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 - <br /> ____ <br /> FLAMMABLE VAPORS REMOVED — """- -- <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 - --- <br /> OWNER/OPERATOR MONITORING qq 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 107 <br /> PIPING FLAMMABLE VAPORS REMOVED UNAUTHORIZED RELEASE SAMPLING IMPROPER ABANDONMENT -' - <br /> THE MARKED ITEMS REPREE NT VIOLATIONS AND UST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLOWS: <br /> MAJOR 57 MINOR 58 NO X59 <br /> VIOL. ❑ VIOL. ❑ VIOL.[ I <br /> r 4 <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: Rs <br /> PHONE: BECK: <br /> HUT-3 ORIGINAL <br /> Sias O <br />