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UNDERGROUND '°1NK PROGRAM OFFICIAL INSPEC' IN REPORT <br /> N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # 39 <br /> PHONE NO. 468-3423 <br /> SITE NAME: 3- -4- L k e--A-- INSPECTION DATE:�2_lt <br /> SITE ADDRESS: 8 ( S r^ Q vp� ITY/STATE/ZIP F e-) 2-3l <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK i TANK 'lr TANK '3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTERCOMPUTER <br /> NUMBE NUMBER f j �ro NUMBER/(), 0 NUMBER <br /> TYP F INSPECTIONSITE COMPUTER# `x'�) l P (�( a� <br /> L PER # V PER# � PER# � PER# <br /> h0 77,4/e, EXP.DATE XP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK NOR <br /> MAJORR MINOR '[L <br /> '' <br /> PERMIT TO OPERATE 1 2 <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 /> 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 31 132 <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 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 ME <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 155 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUPT BCOPIRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: I <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE: INSP: '& RECEI BY: evL.L.�e_- <br /> TITLE: �`!,if' P oaE: IRECK: <br /> d <br /> HUT-3 ORIGINAL 5/88 ©' <br />