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UNDERG ND TANK PROGRAM OFFICIALI ECTION REPORT <br /> SAN JOAQUIN HEALTH DIST <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 <br /> PHONE NO. 468-3423 COUNTY # <br /> SITE NAME: RO e� 1 e INSPECTION DATE a9� <br /> SITE ADDRESS: 1J CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK p TANK m TANKTv �K�Ta TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYRE OF INSPE TION SITE COMPU17 TER# NUMBER NUMBER NUMBER NUMBER <br /> C'Cdr PER# PER# PER# PER# <br /> \ftp <br /> 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 i <br /> APPROVED CONSTRUCTION 5 6 _ <br /> WRITTEN MONITORING PROCEDURES 7 8 "-T---" <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 - <br /> APPROVED MONITOR FREQUENCY 13 74 - - - <br /> MONITORING RECORDS MAINTAINED 15 16 - <br /> ACCESS CASING SECURED 17 18 <br /> PIPING <br /> 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> _. - <br /> UNAUTHORIZEDRELEASEOCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> ... .. .__ _. <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 W4445 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED <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 ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: LINSP: C IVED O E: <br /> HUT-3 ORIGINAL siaa OM <br />