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{GROUND TANK OFFICIAL INSPECTION 10 IT <br /> SAN JOAQUIN PUSUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> Mailing Address: P.O.Box 388 <br /> COUNTY NAME Stookton,CA95201-0388 COUNTY # <br /> 468-3420 <br /> SITE NAME: GGA vj!s�� INSPECTION DATE: 9 9 <br /> SITE ADDRESS: 68/ GUG�Es�pP� S i, CITY/STATE/ZIP God/le--4 -,:5�'. o <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK I 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# PER # PER# PER# PER# <br /> ,Aee�ovAL 7P:) EXP.DATE EXP.DATE EXP DATE EXP.DATE <br /> OPERATIONAL TANK MAJoa MINOR -'- <br /> PERMIT TO OPERATE1 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 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 - .. <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE � <br /> H � - <br /> REMOVAL OF RESIDUAL V43 <br /> FLAMMABLE VAPORS REMOVED - <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> �tt cJ <br /> PERMANENT TANK CLOSUR ,� <br /> REMOVAL OFRE51 UAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPUNG 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 <br /> VIOLOR ❑ VIIOLR L NO <br /> 0 <br /> OFFICE: INSP: --;p RECEIVED BY: <br /> TITLE: L]- E- // s- PHONE: RECK: <br />