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UNDERGROUP TANK PROGRAM OFFICIAL INSPF^TION REPORT <br />WSAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME[� STOCKTON, CA 95205 COUNTY # p <br />Jda/ JOdOJA1N PHONE NO. 468-3423 3/ <br />SITE NAME: <br />p / <br />INSPECTION DATE: 51? <br />NS <br />Clr�rT <br />( <br />SITE ADDRESS: <br />lJ�� <br />a� <br />CITY/STATE/ZIPS <br />CHANGES SIT <br />/OWNER/PERMIT? <br />YES <br />NO <br />TANK <br />TANK TANK TANK <br />FORM A AND/OR <br />B SUBMITTED? <br />COMPUTER <br />COMPUTER COMPUTER COMPUTER <br />ON SITE COMPUTER # <br />NUMBER <br />NUMBER NUMBER NUMBER <br />TYPE OF INSPECT <br />PER # <br />PER # PER # PER # <br />Ou /a7P <br />%Jb <br />EXP, DATE" <br />EXP. DATE EXP. DATE EXP: DA - <br />OPERATIONAL <br />TANK <br />TANK CONTENTS <br />MAJ <br />MINOR <br />PERMIT TO OPEF <br />ATE <br />1 <br />2 <br />_ <br />CHANGE IN CONE <br />ITIONS TO OPERATE <br />3 <br />4 <br />APPROVED COW <br />TRUCTION <br />5 <br />6 <br />_ <br />WRITTEN MONITORING <br />PROCEDURES <br />7 <br />B <br />APPROVED MONI <br />FORING SYSTEM <br />9 <br />10 <br />_ <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONI <br />rOR FREQUENCY <br />13 <br />14 <br />_ <br />MONITORING RECORDS <br />MAINTAINED <br />15 <br />16 <br />ACCESS CASING <br />SECURED <br />17 <br />18 <br />PIPING <br />19 A <br />20 <br />INVENTORY REC <br />NCIUATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RES <br />NSE PLAN <br />25 <br />26 <br />UNAUTHORIZED I <br />tELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK <br />REPAIRS <br />31 <br />32 <br />- <br />UNAUTHORIZED I <br />IELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABP <br />rED <br />37 <br />TEMPORARY <br />TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />139 <br />FLAMMABLE VAP <br />RSREMOVED <br />ACCESS LOCATI <br />NS SEALED <br />W142 <br />7OWNER/OPERAT <br />POWER DISCON <br />ECTED <br />R MONITORING <br />PERMANE <br />T TANK CLOSURE <br />REMOVAL OF RE <br />IDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAP <br />DRS REMOVED <br />50 <br />UNAUTHORIZED I <br />IELEASE <br />51 <br />52 <br />- SAMPLING <br />53 <br />54 <br />IMPROPER ABAN <br />ONMENT <br />55 <br />56 <br />UST MARK ONE) <br />THE MARKED ITEMS <br />FOLLOWS: <br />REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS ( <br />57 <br />58 <br />59LJ <br />MAJOR <br />MINOR <br />VIOL. LTJ <br />VIOL. VIOL. <br />VI <br />OFFICE: <br />INSP: n4-5 <br />//uN� <br />l7 <br />RECEIVED BY: <br />TITLE: NC <br />PHONE: f <br />RECK: <br />HUT -3 I ORIGINAL 5/88 ©M <br />