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UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT <br /> WSAN JOAQUIN HEALTH DISTRICIW <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKON, CA 5205 <br /> PHONE TNO. 46893423 COUNTY # CJ< <br /> SITE NAME: INSPECTION DATE: <br /> SITE ADDRESS: !,S CITY/STATE/ZIP <br /> CHANGES SITE/ WNER/PERMIT? Y TANK G/ TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYP F INSPECTION SITE COMPUTER# PER # PER# PER # PER# <br /> >J7 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> NTS <br /> O ERATIONAL TANK TAMAJOR MI OR 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 /> UNAUTHORIZEDRELEASEOCCURRENCE 27 28 <br /> SAMPLING 29 _._--------- <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 V4142 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 _ .... <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <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: dldz57 58 <br /> :77,,2, <br /> MAJOR MINOR NO 59 <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INSP:P� RECEIVED <br /> TITLE: 60_&'� PHONE: BECK: <br /> 5/88 <br /> HUT-3 ORIGINAL <br />