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UNDERGROUI TANK PROGRAM OFFICIAL INSP TION REPORT <br /> WAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: S >Lh �Cr/ L INSPECTION DATE: l_a <br /> tv <br /> SITE ADDRESS: S�O y+u o/"u CITY/STATE/ZIP S71D clC A0 H <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK IANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF I/ /tet 1N�SPECTION _ SITE COMP/(0UTERI# PER# //�S'�� PER# d&5'-04v PER# (� lC 7 PER# 8 9 <br /> /✓«F" eln f"5 1(1(05- EXP.DATE EXP.DATE EXP.DATE } EXP.DATE / <br /> OPERATIONAL TANK TANK CONT NT <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 r11 CSL <br /> APPROVED MONITORING SYSTEM 9 10 / �...0 % <br /> MONITORING SYSTEM 11 12 l�-` ! �y " VV -. `.V) Ou_7 <br /> APPROVED MONITOR FREQUENCY 13 14 �)J c " <br /> MONITORING RECORDS MAINTAINED 15 16 /V/ y rU) p J JS <br /> ACCESS CASING SECURED 17 18 � _ <br /> PIPING 19 20 Vie:.- _ <br /> INVENTORY RECONCILIATION 21 22 U <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 RED7 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED _ <br /> POWER DISCONNECTED <br /> 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 e <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: / <br /> ilk /t4. <br /> MAJOR 57 MINOR NO 58 59 "� ur< / <br /> VIOL ❑ VIOL VIOL.❑ ostTi ca.rc. <br /> OFFICE: INS R IVED <br /> TITLE: XlG PHONE: BECK: <br /> HUT-3 ORIGINAL 8/88 ©M <br />