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"^ <br /> UNDERGROU�"' ►NK PROGRAM OFFICI L INSPI TION REPORT <br /> t ,,N JOAQUIN HEALTH DISTRICT <br /> _ 1601 E. HAZELTON AVE �djY # [1 <br /> STOCKTON, CA 95205 / <br /> COUNTY NAMEl,v, f.+r'Y�' PHONE NO. 468-3423 <br /> INSPECTION DATE. Ca-I V <br /> SITE NAME: v G Q <br /> yL4 <br /> CITY/STA � �K i C J F5�R 0 <br /> SITE ADDRESS: a 1 ; TANK TANK <br /> T NK COMPUTER <br /> CHANGES SITE/OWNER/PERMIT? YES O TANK Q f OMPUTER COMPUTER NUMBER <br /> COMPUTER BER NUMBER <br /> FORM A AND/OR 8 SUBMITTED? NUMBER UMPER# PER# <br /> TYPE OF INSPECTION SITE COMPUTER# PER # PER # <br /> EXP DATE EXP DATE <br /> EXP DATE XP DATE h <br /> TANK CO <br /> OPERATIONAL TANK MAJoMOR <br /> " <br /> PERMIT TO OPERATE 3 4 <br /> CHANGE IN CONDITIONS TO OPERATE 5 6 <br /> APPROVED CONSTRUCTION -- - -_ <br /> WRITTEN MONITORING PROCEDURES 7 9 8 <br /> 8 <br /> APPROVED MONITORING SYSTEM 912 <br /> 10 <br /> 13 12 <br /> MONITORING SYSTEM 11 <br /> APPROVED MONITOR FREQUENCY 4 <br /> 15 ��- <br /> MONITORING RECORDS MAINTAINED i7 16 <br /> ACCESS CASING SECURED 19 20 - <br /> PIPING <br /> INVENTORY RECONCILIATION 21 22 <br /> 23 24 <br /> TANK GAUGING 26 <br /> APPROVED RESPONSE PLAN 25 <br /> 28 <br /> UNAUTHORIZED RELEASE OCCURRENCE 29 <br /> 9 30 <br /> SAMPLING31 32 <br /> APPROVED TANK REPAIRS -- - -- <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> _.._____ <br /> SAFETY HAZARD 37 <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE , <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED - _ <br /> 41 42 <br /> ACCESS LOCATIONS SEALED --- <br /> POWER DISCONNECTED -.-_ —--_- ,-_. <br /> OWNER/OPERATOR MONITORING . <br /> PERMANENT TANK CLOSURE46 47 <br /> REMOVAL OF RESIDUAL MATERIALS 48 49 - <br /> PIPING <br /> FLAMMABLE VAPORS REMOVED 6051 52 - — - - -- - <br /> UNAUTHORIZED RELEASE - <br /> SAMPLING, 5 56 `^^ <br /> IMPROPER ABANDONMENT 5THE MARKED ITEM REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> c�G <br /> 57 5859 <br /> MAJOR MINOR ❑ NO <br /> VIOL. VIOL. VIOL.❑ <br /> ) <br /> INSP: `l ,1 ECI=INFO BY. <br /> OFFICE: ( <br /> HONE: BECK: <br /> TITLE: --�- <br /> s:ss � <br /> ^F`GiNAL <br /> AUT-3 <br />