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UAROUND TANK OFFICIAL INSPECTION RE& <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> � Mailing Address: P.O.Box 388 <br /> COUNTY NAME a *�_10 Stockton, <br /> 468-342095201-0388 <br /> 8342001-0388 COUNTY # <br /> SITE NAME: v OAINSPECTION DATE: 7_/1 <br /> SITE ADDRESS: 1 1 CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO NK TANK TANK TAMK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYP NUMBER OF INSPECTION SITE COMPUTER # JZj�� NUMBER NUMBER NUMBER <br /> 7i3 �3 PER # PER# PER# PER # <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINORS ' <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 ,f <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 2 <br /> APPROVED MONITOR FREQUENCY 13 V 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 f <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING H3536 <br /> APPROVED TANK REPAIRS <br /> UNAUTHORIZED RELEASES REPORTED <br /> SAFETY HAZARD CONDITIONS ABATED <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 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 155 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 59 - — - <br /> MAJOR MINOR NO _ <br /> VIOL, VIOL ❑ VIOL.❑ <br /> If <br /> OFFICE: INSP: ED7B <br /> TITLE: OZVNE: HL <br /> CK: <br /> q r -,���3 <br /> HUT-3 White-Original Yellow-Owner's Copy Pink-File Copv 5ra� C7 <br />