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UNDERGROUMTANK PROGRAM OFFICIAL INSP TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY #,3 <br /> COUNTY NAME,SQM PHONE NO. 468-3423 <br /> �.y <br /> SITE NAME: �� <br /> INSPECTION DATE: /a'9 {Q� <br /> SITE ADDRESS: 1113 V '-,Skcco CITY/STATE/ZIPs7lo <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK-/ TANK 2- TANK -3 TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF rrIN''SPECTION SITE-COMPUTER## PER# PER# PER# PER# <br /> r S W� Yl�� C� EXP.DATE- EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS / <br /> MAJOR MINOR t <br /> PERMIT TO OPERATE 1 2 ----- <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 /. -- <br /> WRITTEN MONITORING PROCEDURES 7 8 ✓ _ .. <br /> APPROVED MONITORING SYSTEM 9t20 <br /> MONITORING SYSTEM 11 ✓ ✓ - - _.. ' <br /> APPROVED MONITOR FREQUENCY 13 _. <br /> MONITORING RECORDS MAINTAINED 15 <br /> ACCESS CASING SECURED 17 .. <br /> PIPING 19 __-_INVENTORY RECONCILIATION 21 <br /> TANK GAUGING 23 4 <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 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: a� <br /> MAJOR 57 MINOR58❑ NO 59 <br /> VIOL. VIOL. VIOL <br /> OFFICE: 1NSP: 21�G, <br /> 8o C <br /> ' L NNEE <br /> TITLE: �rirs P /���5'�LCLGC� EJ J � <br /> 0 <br /> HUT-3 ORIGINAL 70 ck <br />