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UNDERGROUF''' TANK PROGRAM OFJA <br /> IAL INSP "TION REPORT <br /> �AN JOAQUIN HEALDISTRICT�n <br /> 1601 E. HAZELTO . <br /> COUNTY NAME , ;. sTocKTON, cA _ COUNTY # <br /> } } ,�iL PHONE NO. 468- <br /> SITE NAME: e&37.��� INSPECTION DATE: <br /> SITE ADDRESS: i I} F L-a-4�--lz-� GL CITY/STATE/ZIP S)oC,1ryCyj f C11 <br /> Q�o�Q/f <br /> CHANGES SITE/OWNER/PERMIT? YES &NO TANK co TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER # <br /> PER# PER # PER# PER# <br /> r L9 u fir.iz.Z D `3 a-- EXP.DATE' EXP.DATE EXP.DATE EXP.DATE <br /> me <br /> TANK CONTENTS # All <br /> u <br /> OPERATIONAL TANK MAJORINOR , P MM <br /> PERMIT TO OPERATE = 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 6 - <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 /> OR <br /> UNAUTHIZED RELEASES REPORTED 33 34 _—______-- -....__._.._..__---__._..._. _..-. ._...................._ .__-_...w__,__....._-__ <br /> UNAUTHORIZED <br /> 35 36 <br /> SAF <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 ' � � � �1 <br /> � vatm,- �..� s �° "�ay?rr Ctrs x,r arra.;. <br /> QPM � <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 F EPRESENT VIOLATIONS AND MUST BE CORRECTED A <br /> SYSTEMA STATUS(MUST MARK ONE) FOLLOWS: <br /> Gf <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL. VIOL.❑ <br /> OFFICE: INSP: . RECEIVEY- <br /> '�JIS G� ACLA� <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL 5 as O M <br />