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UNDERGROUNI&NK PROGRAM OFFICIAL INSPEWN REPORT <br /> N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. ^ <br /> COUNTY NAMESTOCKTON, CA SLp�L �p U PHONE NO. 468 3423 COUNTY # <br /> SITE NAME: G CJ I /-Clam INSPECTION DATE: W131,96 <br /> SITE ADDRESS: Q-D N u)'e's �Q CITY/STATE/ZIP S� r�� 64F5-75 d 7 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK (J TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE <br /> �OF//INSPECTION SITE COMPUTER# PER # PER# PER # PER# <br /> y <br /> I D tL 71 nx-, 93 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CON Nl5 <br /> MAJOR 401NOR <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 <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 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:58 59 <br /> ?7_ <br /> MAJOR MINOR ❑ NOEl <br /> VIOL. 57 VIOL. VIOL. -- <br /> OFFICE: RSSP: /�cRECEIVED :RL a <br /> /eQS 7 BASO /1/• <br /> TITLE: j>]�L L_S PHONE, c / �7 o� <br /> rl �T <br /> c 5/88 O° M <br /> HUT-3 ORIGINAL <br />