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UNDERGROUANK PROGRAM OFFICIAL INSPION REPORT SAN JOAQUIN HEALTH DISTRIC 1601 E. HAZELTON AVE. ' STOCKTON, CA 95205 COUNTY # COUNTY NAME PHONE NO. 468-3423 SITE NAME: L INSPECTION DATE: LJ 2_g s 7 SITE ADDRESS: c�/S Swen��i CITY/STATE/ZIPS C4 CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER NUMBER NUMBER NUMBER NUMBER TYPE OF INSPECTION SITE COMPUTER# PER# 1503-O/ PER# 1503^O PER# /Sv3-e3 PER # 72iwi k,,,,.tpvG(J /Sf73 EXP.DATE EXP.DATE EXP.DATE EXP DATE OPERATIONAL TANK TANK CONTENTS MAJOR MINOR PERMIT TO OPERATE 1 2 -- --- - - - CHANGE IN CONDITIONS TO OPERATE 3 4 APPROVED CONSTRUCTION 5 6 WRITTEN MONITORING PROCEDURES '7 8 _ APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 11 12 -- APPROVED MONITOR FREQUENCY 13 14 Li - MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED 17 18 PIPING 19 20 INVENTORY RECONCILIATION 21 22 TANK GAUGING 23 24 APPROVED RESPONSE PLAN 25 26 UNAUTHORIZED RELEASE OCCURRENCE 27 28 .- SAMPLING 29 30 - APPROVED TANK REPAIRS 31 32 _ UNAUTHORIZED RELEASES REPORTED . 33 34 SAFETY HAZARD 135 136 1 - CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL P77 FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED - :E7E� -.POWER DISCONNECTED OWNER/OPERATOR MONITORING RMANENT TANK CLOSURE REMOVAL 155 PIPING FLAMMABLE VAPORS REMOVED --- 77 UNAUTHORIZED RELEASE __ --- SAMPUNG IMPROPER ABANDONMENT THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST 13E)CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: S Y MAJOR 57 MINOR 58 NO 59 41 VIOL ❑ VIOL. ❑ VIOL _ ` 1-e 41,475 c d /ZGGfi[ OFFICE: INSP: A �L RECEIVED BY: TITLE-./P•`,Ififi PHONE: PECK: 5/88 OM HUT-3 ORIGINAL