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UNDERGROUNANNK PROGRAM OFFICIAL INSPF <br /> ON REPORT <br /> JOAQUIN HEALTH DISTRICT <br /> 1 1601 E. HAZELTON AVE. <br /> '�ZL � STOCKTON, CA 95205 COUNTY #J <br /> COUNTY NAMG?��� PHONE NO. 468-3423 <br /> INSPECTION DATE:% <br /> L_ <br /> SITE NAME: <br /> CITY/STATE/ZIP � 't <br /> SITE ADDRESS:� llvl` <br /> FCHANGESTE/OWNER/PERMIT?L S NO TANK (I TANK TANKTANK <br /> /OR B SUBMITTED. COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> CTI SITE C`/ # pER # PER # PER # PER # <br /> Z / EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS - <br /> OPERATIONAL TANK MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES M151 <br /> APPROVED MONITORING SYSTEM " <br /> MONITORING SYSTEM <br /> APPROVED MONITOR FREQUENCY — <br /> MONITORING RECORDS MAINTAINED <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 --w- - --- <br /> APPROVED TANK REPAIRS 31 32 `— --- <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD j35 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 r53 <br /> 47 --- -- <br /> PIPING 49 -- -- <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 52 <br /> SAMPLING 54IMPROPER ABANDONMENT 56 <br /> THE MAR REP SENT VIOLATIONS AND MUST CTED AS / <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLO <br /> MAJOR 57 MINOR 58 59 <br /> NO <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE:C / INSP.RECEIVED BY:� <br /> /q, I <br /> TITLE: �—C.���' <br /> PHONE: BECK: <br /> a, 5i88j C <br /> HUT-3 ORIGINAL <br />