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UNDERGROUNIONK PROGRAM OFFICIAL INSPEgRON REPORT <br /> N JOAQUIN�HEAQLNTH DISTRICT <br /> AVE- <br /> STOCKTON, CA 95205 COUNTY # 3� <br /> COUNTY NAME PHONE NO. 468-3423 <br /> ZZ y�_, Z/71-� INSPECTION DATE: <br /> SITE NAME: , FG �(/,E/✓ p� <br /> SITE ADDRESS: d 7 3 (f s �i/7�� CITY/STATE/ZIP/1/'ZX C,004- 9✓ <br /> vTANK 2 TANK TANK <br /> CHANGES SITE/OWNER/PERMIT? YE NO TANK COMPUTER COMP COMPUTER <br /> FORM A AND/OR B SUBMITTED? COMPUTER NUMBER <br /> NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER # <br /> PER# PER# PER# <br /> 1 <br /> // �j D EXP.DATE EXP.DATE EXP.DATE <br /> The �S EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK MAJOR MINOR <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 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 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 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING <br /> 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 BECORRECTEDAS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:57 `_ /✓✓'�.i,,VV.•,, <br /> �m <br /> MAJOR MINOR � - <br /> VIOL V,OL. VIOL.OL. <br /> OFFICE: INSR' j� RECEIVED BY: <br /> TITLE: <br /> S PHONE: R CI <br /> siee C <br /> HUT-3 ORIGINAL <br />