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UNDERGROU TANK PROGRAM OFFICIAL INSP 'TION REPORT <br /> WEAN JOAQUIN HEALTH DISTRICTO <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 -� <br /> SITE NAME: LSU S G ua/�es Ale , INSPECTION DATE: 5/1 7 <br /> SITE ADDRESS: �� CITY/STATE/ZIP 95376 <br /> CHANGES SITE/OWNER/PERMIT? YES -��OkANK TANK TAN TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER # PER# PER # PER# <br /> �y ?3 EXP DATE EXP.DATE EXP DATE EXP DATE <br /> OPERATIOAL TANK TANK CONTENTS <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 20 _ <br /> INVENTORY 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 /> ak <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 r42 —POWER DISCONNECTED OWNER/OPERATOR MONITORING 44 <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 i56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE)� pja/p{y� Ceca OLLOWS: (( G o I IR.. ' <br /> ck4 ' f pSPurr�lr q . p IS' <br /> MAJOR 57 MINOR NO 59 Qrb( I3TK E Zd II Saw. ft /CY.s z>1 e <br /> VIOL. ❑ VIOL. ❑ VIOL.❑ sgp- .Z 40,c cle a; s n N� <br /> OFFICE: INSP: �R / oz- RECEIVED BY: <br /> TITLE: £,y5� PHONE: RECK: <br /> HUT-3 ORIGINAL 5/88 OM <br />