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UNDERGROUW,NK PROGRAM OFFICIAL INSPEj"N REPORT <br /> 4w JOAQUIN HEALTH DISTRICT "W <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # J <br /> COUNTY NAME PHONE NO. 468-3423 <br /> INSPECTION DATE <br /> SITE NAME: '' <br /> SITE ADDRESS D {j/ /STATE/ZI ( 9,� / <br /> CHANGES SITE YES NO TANK TANK TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUOMPUTER COMPUTER COMPUTER <br /> NUMBER UMBEP� NUMBER NUMBER <br /> TYPE OF SPEC ON SITE COMPUTER# PER /���� PER# /A?y PER# PER # <br /> 1 � j'/D EXP.DATE EXP.DMfEEXP.DATE EXP.DATE <br /> ANOR <br /> OPERATIONAL TANK MAJOR <br /> OR MMINOR : <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 24 <br /> APPROVED RESPONSE PLAN 25 26 _ - - --- -- -- <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING --- <br /> APPROVED TANK REPAIRS - <br /> UNAUTHORIZED RELEASES REPORTED '- <br /> SAFETY HAZARD <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <br /> 9 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED 42 <br /> POWER DISCONNECTED 43 <br /> 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 I MS REPRESENT VIOLATIONS AND MUST/BE CgRRECTED <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 1 647 <br /> MAJOR 57 MINOR 56 NO 59 <br /> VIOL. ❑ VIOL ❑ VIOL <br /> OFFICE: INSP: /,/ CEIVED BY: <br /> O <br /> 336 TITLE:,; PHO E:�V / RECK <br /> 5,88 0 <br /> HUT-3 ORIGINAL <br />