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UNDERGROUI, �'-'NK PROGRAM OFFICIAL INSPf "tiN REPORT 1,4 <br /> 4 JOAQUIN HEALTH DISTRICT ✓ <br /> 1601 E. HAZELTON AVE. <br /> CHI NTY NAIVE STOCKTON, CA 95205 COUNTY # .� <br /> PHONE NO. 468-3423 <br /> SITE NAME: <br /> PaT INSPECTION DATE:/2—� �9p <br /> `SITE ADDRESS: , 7 1 —7 �, Ctf���� � CITY/STATE/ZIP57�� L� GIS <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK 4 TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYP F INSPECTLN SITE COMPUTER# NUMBERf pONUMBER NUMBER NUMBER <br /> PER it PER# PER# PER# <br /> EXP.DAT EXP,DATE EXP.DATE EXP.PATE <br /> OPERATIONAL TANK TANK CONTENTSr <br /> MAJOR MfNRR ` Vit; ti . r k w w. _ , sl7t4 <br /> k" �14._ <br /> PERMIT TO OPERATE 1 12 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 ----� --__ __ -------- <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 _ <br /> 1 APPROVED MONITOR FREQUENCY 13 14 — <br /> 'MONITORING RECORDS MAINTAINED 15 1$ <br /> I 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 CLOSUREr <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING 44 45 - — <br /> PERMANENT TANK CLOSURE .'.. .y .� e. lip <br /> �� .7 <br /> REMOVAL OF RESIDUAL MATERIALS F53 <br /> 154 <br /> PIPING - ..._...._...._..__.- <br /> FLAMMABLE VAPORS REMOVED 4 <br /> UNAUTHORIZED RELEASE <br /> SAMPLING <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE). FOLLOWS: <br /> MAJOR 57MINOR 58 NO 59 ��/' f 5 G P1)Cl <br /> VIOL. —j VIOL. ❑ VIOL. <br /> OFFICE: INSP:t / RECEIVED BY: <br /> TITLE:fC. PHONE: BECK: <br /> srP <br /> ORIGINAL <br /> . HUT-3 - I <br />