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^^ vn%J%AnmMUrrILIAL INSPEC�N REPORT <br /> JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 <br /> PHONE NO. 468-3423 COUNTY # <br /> SITE NAME: <br /> INSPECTION DATE: <br /> SITE ADDRESS: (Z6 s SsT CITY/STATE/ZIP Z_tpDy— GHQ G?ij y u <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK _4�_ TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER TANK <br /> COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> AULyr;rl_q PER# PER # PER# PER# <br /> OPERATIONAL TANK TANK coNMNEXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> rs <br /> PERMIT TO OPERATE MAJOR MINOR1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 q - - ---- ------ -.. -_. _ <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 29 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 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 - <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 /> SAar�M�PUN .3 <br /> NGG -� 5 <br /> Rrol'E ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) !� <br /> FOLLOWS: <br /> MAJOR57 MINOR 58 N59 <br /> VIOL VIOL. ❑ VIOO L❑ <br /> OFFICE: INSP:p,/ RECEIVED BY: <br /> Giem, iGN,Q ,?A74,Al ELG.senr�- <br /> �8G4.�,P� <br /> TITLE: <br /> BECK: <br /> HUT-3 ORIGINAL <br /> 5/88 � <br />