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f <br /> UNcGROUND TANK OFFICIAL! SPECTION RE IT <br /> SAN JOAQUIN PUBLIC HEALI H SERVICES <br /> ENVIRONMENTAL HEALTI 4 DIVISION <br /> 445 N.San Joaquin Str et <br /> Mailing Address: P.O.Box 388 <br /> COUNTY NAME t ; Stockton,C3420 <br /> 95201-0388 COUNTY # <br /> �3 <br /> SITE NAME: V O � v" �� INSPECTION DATE. <br /> SITE ADDRESS: yc, CITY/STATE/ZIP c, <br /> CHANGES SITE/OWNER/PERMIT? YES NCY TANK TANK TANK TANK I <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER# PER # PER# PER # <br /> 11� Rei f 3 t 3� EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK rwKcorrrrrrts <br /> MAJOR MINOR ,. s•. gg u:"J,kJry rr n +z tl t t x <br /> t...-.sib. F' +„ <br /> PERMIT TO OPERATE 1 2 t/ <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 _ <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES T 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> _........._....__, ._,_..__..._- -.___ __-._.....-_._-_-.---- <br /> APPROVED <br /> ._APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> t/ <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 CLOSAE <br /> ,i-:, ::�. <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 w <br /> � A <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 155 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEMA STATUS(MUST MARK ONE) FOLLOWS: -- , <br /> MAJOR 57 MINOR 5$ NO 59 _ <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> Tv ` v,9 <br /> OFFICE: INSP. � �; <br /> Al <br /> � Y <br /> -51 <br /> TITLE: RECK: <br /> �TTc -e f3cwo <br /> HUT-3 Wh4e.Origind Yoflow-Owner's Copy Pink-1=iie Ccpv <br />