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UNDERGROUN NK PROGRAM OFFICIAL INSPE ON REPORT I <br /> N JOAQUIN HETAQLITH DISTRICT <br /> 1601 E. HAZEEAVE <br /> STOCKTON, CA 95205 COUNTY # 2 <br /> COUNTY NAME PHONE NO. 468-3423 <br /> SITE NAME: u(M INSPECTION DATE:5--4? q <br /> SITE ADDRESS: �J 6� 5� I CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK FNUMBER <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER <br /> NUMBER„- - ,/,_ NUMBER NUMBER TYPE OF INSPECTION SITE COMPUTER# PER# Gy�{O.`�,�"_'-_ PER # PER# <br /> Z y (7 � EXP.DATE ,ItO O G EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERA IONAL TANK M 0 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 /> - <br /> UNAUTHORIZEDRELEASESREPORTED 33 34 - <br /> SAFETY HAZARD 35 36 "..... . . __. _..__ ....._-.. <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL p4445Cfffl <br /> FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS RL <br /> PIPING <br /> FLAMMABLE VAPORS REMOVED -- --------- <br /> UNAUTHORIZED RELEASE. - - <br /> SAMPLING IMPROPER ABANDONMENT THEMA K DIREPESSEENT VIOLATIONS <br /> LATION�BE CORREC AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. gf VIOL ❑ VIOL.❑ <br /> 117 <br /> OFFICE: INSP� RECEIVED BY: <br /> TITLE: reS PHO E: BECK: <br /> 5/88 O <br /> HUT-3 ORIGINAL <br />