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UNDERGROUP`1TANK PROGRAM OFFICIALTION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT,.,, <br /> ItA/ 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # 3� <br /> COUNTY NAME CJ j,J PHONE NO. 468-3423 <br /> ESITENAME- INSPECTION DATE: /Z Z8 S S �oNESS: CITY/STATE/ZIP q, � C-4 953`( <br /> S W, !� <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? N n COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER # PER # <br /> If711 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL NK TANK coNTeNTs <br /> -., <br /> MAJOR MINOR ar ` <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 15 116 <br /> ACCESS CASING SECURED 17 118 <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 29 130 <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 /> 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 /> IRFK , <br /> ra= . <br /> REMOVAL OF RESIDUAL MATERIALS t5l <br /> 47 <br /> PIPING 49 <br /> FLAMMABLE VAPORS REMOVED fZ }_—Q <br /> UNAUTHORIZED RELEASE 52SAMPLING 54IMPROPER ABANDONMENT 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE)O FOLLOWS: <br /> MAJOR MINOR �OoLaL El <br /> OFFICE: INSP: y RECEIVED BY: <br /> TITLE: S PHONE: BECK: <br /> 5/88 C <br /> HUT-3 ORIGINAL <br />