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UNDERGROU TANK PROGRAM OFFICIAL INSP "TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMESTOCKTON, CA 95205 COUNTY # <br /> j:,. �icI ff", { {� PHONE NO. 468-3423 <br /> SITE NAME: �^ ¢ INSPECTION DATE: <br /> ,J[.Ya' <br /> SITE ADDRESS: M n 4 CITY/STATE/ZIP F,,-e',jC k CQ vn p {r.'4 <br /> CHANGES SITE/OWNER/PERMIT? YE J NO TANK = f 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# PER# PER # PER# <br /> f.. a <br /> 7q EXP.DATE .EXP.DATE EXP-DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> 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 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 23 124 <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 F4 ] <br /> OWNER/OPERATOR MONITORING 44 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <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 MUSTBECORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) �,41� Vj�lex Ir'vxF, FOLLOWS: 2, / rr C f(-;-e j 4or.k KC- / <br /> . _' c�� ,-- r.:-� .., �l rQf/F^n{.rn f .. %' ,-�Gr.�!' C`)� r"p•I r.�-„'�Y^y/1 r,�J�-. �'r�I..+ c{�!'t;P�.f C' c, ,ti,/^ <br /> MAJOR 57 MINOR 58 NO 59 -P �!a �.t v <br /> VIOL. ❑ VIOL. ❑ VIOL❑ f� orf. Q%tam j'" .,,�, f r <br /> ', C+OGh'°r-"! {'/fit^'N' 1 n.r ^�Iyr • �,r �4 rr.a t^,0�e e <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> HUT-3 FILE COPY 5/88 OM <br />