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` Y UNDERGROUf r TANK PROGRAM OFFICIAL INSP `TION REPORT <br /> F' SAN JOAQUIN HEALTH DISTRICT ~ <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # -3c <br /> COUNTY NAME 04 I PHONE NO. 468-3423 <br /> noo <br /> INSPECTION DATE: I t �(Olgg <br /> SITE NAME: S-�a►„� NIOt^f'[. FdrGt ' <br /> SITE ADDRESS: I oe4 �, rlfi 5� CITY/STATE/ZIP —� C-4 Z07-y6$-SS`6� i <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK I <br /> COMPUTER COMPUTER COMPUTER COMPUTER I <br /> FORM A AND/OR B SUBMITTED. NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> P,gfm0oo- 1 EXP DATE EXP DATE EXP DATE EXP DATE <br /> o <br /> TANK CONTENTS ' , �. .7�k - t ^ ^s <br /> OPERATIONAL TANK <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 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> t <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 ---___M. __ -____. ... - ---_. <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 3i 32 - <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> Im <br /> SAFETY HAZARD 35 36 ! <br /> CONDITIONS ABATED 37 , <br /> lk <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 CLOSUREv 4 ry 'e <br /> ��� .. <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <br /> PIPING 48 49 __...._. r <br /> FLAMMABLE VAPORS REMOVED 50 _�10� - <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 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: i%n aY rlQ� � `{ Q ~ Sy CL51 Z-tl 9211 <br /> "ya T a. 4.Q <br /> 57 58 59 `3u wil 0MAJOR <br /> OL. ❑ VIIOL NOR Li 1-4 <br /> VOL.❑ <br /> OFFICE: INSPCAc'lc,/es BY: <br /> Charles �]u,.,� <br /> TITLE:SQN'�lurJU/J PHONE: BECK: <br /> as 0' <br /> HUT-3 ORIGINAL <br />