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UNDERGROUNIANK PROGRAM OFFICIAL INSPEffON REPORT <br /> N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUP # S <br /> PHONE NO. 468-3423 / <br /> SITE NAME: n n S r{ �G INSPECTION DATE: a <br /> SITE ADDRESS: 5✓``+ S`}- CITY/STATE/ZIP 7 cA <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK // TANK <br /> FORM AANS/OR B SUBMITTED? COMPUNUUMBE70 D°° /COMPUTER NUMBER [00°JCOMPUTNUMBER �7�/ NUMBER TYPE OF IN P CTION SITE COMPUTER# V <br /> PER# GtT� PER# U PER# <br /> EXP.DATE EXP.DATE o EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONIENlS <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 s <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 j 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 /> REMOVAL OF RESIDUAL 13. 139 <br /> FLAMMABLE VAPORS REMOVED &44 <br /> ACCESS LOCATIONS SEALED r45 <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 ITEMS REP SENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOL O <br /> MAJOR. MINOR F NO 59 W7f <br /> VIOL �� VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: RECkIVE <br /> TITLE: nMGIS PHONE: <br /> RECK <br /> IT-3 ORIGINAL siaa ©, <br />