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UNDERGROUND TANK PROGRAM OFFICIAL INSPECTTI REPORT <br /> �N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 9525COUNTY NAME PHONE NO. 468-3423 CUNNTY <br /> SITE NAME: -7_ IGve� II __ INSPECTION DATE: <br /> SITE ADDRESS: 7" YpSC m 1'c CITY/STATE/ZIP a h fe C <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK p/ TANK U' Z TANK 17:3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> [PERMIT <br /> PE OF INSPECTION SITE COMPUTER# PER# PER # PER# PER# <br /> pU I ✓LL L/ C-7 EXP.DATE EXP DATE EXP.DATE EXP DATE <br /> PERATIONAL TANK TANK R MI CONTENTS vAII <br /> MAJOR MINOR O p00 ✓�- D edQ /fes d �� <br /> TO OPERATE 1 2HANGE IN CONDITIONS TO OPERATE 3 4PPROVED 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 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 ------------ <br /> SAFETY HAZARD 3`` 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 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 I ST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL. ❑ VIOL❑ <br /> OFFICE: INSti- ! R EIVED BY: <br /> TITLE: ! PHONE: RECK <br /> !' 5/88 <br /> HUT-3 ORIGINAL <br />