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UNDERGROUNANK PROGRAM OFFICIAL INSPE ON REPORT <br /> �4N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY #�� <br /> PHONE NO. 468-3423 <br /> SITE NAME: �J'' INSPECTION DATE: 7/j��/� <br /> SITE ADDRESS: 'L CITY/STATE/ZIP CoA <br /> DD b, <br /> CHANGES SITE/OWNER/PERMIT? „yS N TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED?(d COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYP OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> 2—� EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONr NTs <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 _ <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 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 <br /> IMPROPER ABANDONMENT 56 <br /> THE MARKED pIITE��MS�� REPRESE��jif VIOLATIONS AND MUST COR ECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOW$/�n+'�� CNa�'J^"A � - <br /> MAJOR 57 MINOR 58NO 59 - -- <br /> VIOL. El VIOL. VIOL - - <br /> OFFICE:/ J� <br /> INSP/ � RECEIV <br /> TITLE,,PY NE: RECK: <br /> HUT-3 ORIGINAL siae O� <br />