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UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> \N JOAQUIN HEALTH DISTRICT y <br /> ' 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 <br /> COUNTY NAME PHONE NO. 468-3423 CUNNTY # <br /> SITE NAME: El /L/ Qac�L INSPECTION DATE: 9 y_ <br /> SITE ADDRESS: CITY/STATE/ZIP /uas+�i'cw <br /> CHANGES SITE/OWNER/PERMIT? YES NO 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# pER# ATO d PER# PER# PER# <br /> 02 1(9-/ EXP.DATE EXP.DATE EXP.DATE EXP DATE <br /> OPERATIONAL TANK TANK R MI <br /> NNO <br /> MAJOR MR ` <br /> R <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS 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 12 <br /> APPROVED MONITOR FREQUENCY 13 14 TI2 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 I'va-5'�2 / <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 <br /> APPROVED TANK REPAIRS M30 <br /> UNAUTHORIZED RELEASES REPORTED SAFETY HAZARDCONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL U43 <br /> 9 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED 2 <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING 5 <br /> PERMANENT TANK CLOSURE <br /> REMO ALS 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: W�^{ rG,,-v A <br /> 58 <br /> MAJOR 57 MINOR NO 59 <br /> VIOL. ❑ VIOL. ❑ VIOL.C C <br /> OFFICE: INSP: 2 _ ,ol Z)7 RECEIVED BY: <br /> TITLE: w jS PHONE: RECK: <br /> HUT-3 ORIGINAL <br />