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UNDERGROUNt-�NK PROGRAM OFFICIAL INSPEI`7N REPORT <br /> two .N JOAOUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> IY IK STOCKTON, CA 95205 CONTY # 7 <br /> PHONE NO.488-3423 / <br /> SITE NAME: VILL'q-"�-e ' ' INSPECTION DATE: <br /> JKDRESS: 14t) HApDli,6, CITY/STATE/ZIP ST4C 352' 03 <br /> RANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK �i <br /> ORM RAND/� B SUBMITTED? NIJMAI3IE� /� NUMBEUR R COMPUTER R <br /> TYPE OF INSPECTIONSITE C�OJMPUTELR. NUMBER NUMBER <br /> PER f PER#► PER#t PER 4 <br /> —IMIC ✓ ` I / EXP.DATE" Oi EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK s catr�rrs ;t T <br /> MAJOR MINOR law <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> COMPUTIER <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 110 <br /> MONITORING SYSTEM 11 112 <br /> APPROVED MONITOR FREQUENCY 13 114 <br /> MONITORING RECORDS MAINTAINED 16 lie <br /> ACCESS CASING SECURED 17 lis <br /> PIPING 19 20 <br /> INVENTORY RECONIClLJATK)N 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 25 J- <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 130 <br /> APPROVED TANK REPAIRS 31 32 <br /> LL�,,�/ RELEASES REPORTED 33 34 <br /> &wTYHAHAZAARD 35 36 <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/OPERATORMONfTORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 4647 <br /> PIPING 48 40 <br /> FLAMMABLE WOKS 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 /> SYSTEM STATUS(MUST MARK oNE) FOLLOWS: I -- V 6-7 <br /> 57 58 59 <br /> MAJOR MINOR NO <br /> VIOL. ❑ VIOL ❑ VIOL <br /> OFFICE: INSP �/ RECEIVED BY: <br /> TITLE: PHONE: RECK: <br /> HUT-3 ORIGINAL 5/e6 <br />