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UNDERGROUI9TANK PROGRAM OFFICIAL INSP*ION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMEc� �/� STOCKTON, CA 95205 COUNTY # 3 9 <br /> ,f-M PHONE NO. 468-3423 <br /> SITE NAME: S r INSPECTION DATE: <br /> SITE ADDRESS: ^2 3 D CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES O' TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# <br /> .fie /Pro <br /> PER# PER# PER# PER# <br /> kottfEXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONmNM <br /> MAJOR MINOR - <br /> PERMIT TO OPER TE 1 2 <br /> CHANGE IN CONXTIONS 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-Ir 12 - <br /> APPROVED MONITOR FREQUENCY 13)t- 14 <br /> MONITORING RECORDS MAINTAINED 15k 16 _ "- <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 Jy 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 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED W43 <br /> ACCESS LOCATIONS SEALED 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: <br /> MAJOR 57 MINOR NO 58 59 <br /> VIOL. VIOL ❑ VIOL.❑ <br /> OFFICE: INSP: l RLQ E4VEoBl,': <br /> ®� f. fnaA17 <br /> TITLE: •� < PHONE: RECK: $Zd <br /> f'i 'Nv <br /> HUT-3 ORIGINAL sine ©M <br />