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PROGRAM OFFICIAL INSF <br /> ION <br /> UNDERGROUMAAN JOAQUIN HEALTH D STRICT REPORT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # <br /> COUNTY NAME PHONE NO. 468-3423 <br /> fi <br /> SITE NAME: ��� S I INSPECTION DATE: <br /> SITE ADDRESS: �z (/ 'Z- S-7 CITY/S <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK NK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER # PER # PER# PER# <br /> I "( I EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK AJ R MINOR <br /> IN R <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 20INVENTORY 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 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 ---- <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 ----- <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 4849 <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: (19 <br /> r <br /> MAJOR 57 MINOR 58 59 <br /> NO <br /> VIOL. ❑ VIOL ❑ VIOL. <br /> OFFICE: INSP: / RECEIVED BY: <br /> TITLE:NQS PHONE: BECK: <br /> 5/68 O° M <br /> HUT-3 ORIGINAL <br />