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._._._� UNDERGROUI NK PROGRAM OFFICIAL INSPF-'9ON REPORT 4 F �. <br /> N JOAOUIN HEALTH DISTRICTS <br /> .1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # 3`l <br /> PHONE NO. 468-3423 <br /> SITE NAME: r0 INSPECTION DAT1-/z/Z D <br /> SITE ADDRESS: G) v 11 D W. C., • -re_k (Al, CITY/STATE/ZIP (� 9520 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK 'TANK Z-• TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTEF COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER NUMBER /OIG NUMBER /�� UMBER NUMBER <br /> -RIVC r d9 PER# k PER# L% PER# PER# <br /> / / O EXP.DATE EXP.DATE ( f EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTSr 8 <br /> MAJOR MINOR <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 25 126 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 128 <br /> SAMPLING P9 130 1 --- <br /> APPROVED TANK REPAIRS 31 132 <br /> UNAUTHORIZED RELEASES REPORTED 33 134 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE _ ,• „ <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 144 45 <br /> PERMANENT TANK CLOSURE <br /> . _ <br /> t <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 REPRESS /VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: Z` VG S T S <br /> 4 <br /> 57 59 <br /> MAJOR MINOR 58 NO <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE:1� /5 PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 OM <br />