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UNDERGROU TANKJOAPROGRAM HEALTH OFFICIALSTR C TION REPORT <br /> TW <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95265 COUNTY # <br /> COUNTY NAME PHONE NO. 468-3423 <br /> `/_ INSPECTION DATE: �- <br /> SITE NAME: SQA �4lea 76, / <br /> SITE ADDRESS: CITY/STATEfIP �k <br /> TANK <br /> TANK <br /> CHANGES SITEIOWNER/PERMIT? YES NO TANK COMPUTER COMPUTER COMPUTER COMPUTER <br /> FORM A AND/OR B SUBMITTED? NUMBER NUMBER NUMBER NUMBER <br /> PER # <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER # PER# <br /> EXP.DATE <br /> FXP.DATE EXP.DATE EXP.DATE <br /> G2 t� <br /> TANK CONTENTS <br /> OPERATIO AL TANK MAJOR MINOR <br /> PERMIT TO OPERATE <br /> 1 2 _ <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 – <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM <br /> 9 10 � ._.. . <br /> MONITORING SYSTEM 11 12 ------ <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED <br /> 15 16 <br /> ACCESS CASING SECURED 17 18 --"----" <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION <br /> 21 22 <br /> TANK GAUGING <br /> 23 24 <br /> 26 <br /> APPROVED RESPONSE PLAN 25 `- <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS <br /> 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 <br /> wff <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 4 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 - <br /> IMPROPER ABANDONMENT 5 156 <br /> THE MARKED ITEMS REPRInSE T VIOLATIONS AND MUST BE CORREC ED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 59 <br /> MAJOR 57 MINOR 58 NO <br /> VIOL, VIOL. VIOL.❑ <br /> OFFICE: INSP: COVE Y' <br /> HO E: RECK: <br /> FF v <br /> yew � ` srsa C <br /> HUT-3 ORIGINAL S, �� r SIX <br />