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UNDERGROUv TANK PROGRAM OFFICIAL 1NSP''TION REPORT <br /> *.,3AN JOAQUIN HEALTH DISTRICT `mo#' <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY #13 <br /> 60 PHONE NO. 468-3423 <br /> SITE NAME: INSPECTION DATE. <br /> S H <br /> SITE ADDRESS: CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK o,-,7 TANK 3 ANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMER NUMBER NUMBER NUMBER NUMBER <br /> amn <br /> cfl PER # PER# PER# PER# <br /> EXP.DATE EXP.DATE 11 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 -__- <br /> APPROVED CONSTRUCTION 5 6 a _ -- - <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 21 122 � <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 -- ------�-- - µ - <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 35 136 <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 r5l <br /> 47 <br /> PIPING 49 <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 52SAMPLING54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOL OWS: <br /> 57 _ —i11�1�1D��t1lZL'�����OM�f G 7c1TS <br /> MAJOR :] MINOR E] NO 5 �J�` •c7� J / <br /> 59 <br /> VIOL. VIOL. VIOL.f� <br /> OFFICE: INSP: o5� 7� RECEIVED BY: <br /> TITLE:�����/ PHONE: BECK: <br />