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UNDERGROUIS TANK PROGRAM OFFICIAL INS P TION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> /J PHONE NO. 468-3423 _ <br /> SITE NAME: J > // ' INSPECTION DATE: 7 &- g <br /> SITE ADDRESS: �Q "7 �`� CITY/STATE/ZIP ( <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK / TANK ;/ TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> raTY E`OF INSPECTION SITE COMPUTER# PER # PER# PER# PER# <br /> il o� - '2 UPU4:R a EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK COWENT <br /> MAJOR I 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 15 116 1 <br /> ACCESS CASING SECURED E34 <br /> PIPING _ <br /> INVENTORY RECONCILIATION <br /> TANK GAUGING <br /> APPROVED RESPONSE PLAN <br /> UNAUTHORIZED RELEASE OCCURRENCE SAMPLING .. _. . ._.... <br /> APPROVED TANK REPAIRS <br /> UNAUTHORIZED RELEASES REPORTED SAFETY HAZARD CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W43 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> 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 I MS REPRESENT VIOLATIONS AND MUT BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FO LLO Zz <br /> _ " <br /> pq <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. LI VIOL. ❑ VIOL.❑ <br /> 1 <br /> OFFICE`. I EIVE BY�� <br /> TITLE: J V PHONE: RECK: <br /> _ L <br /> HUT-3 ORIGINAL <br />