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UNDERGRO� TANK PROGRAM OFFICIAL INS 1TION REPORT <br /> SAN JOAQUIN HEALTH DISTRI& <br /> 1 1601 E. HAZELTON AVE. <br /> y pw SCS JCS STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: I C-nm <br /> SITE ADDRESS. Z /V 1� CITY/STATE/ZIP <br /> SITE/ <br /> E/ YES NO TANK �/ TANK TANK \TAW <br /> D/OR SUBM COMPUTER COMPUTER COMPUTER COMPUTER <br /> INSPECTION SITE -NUMBER NUMBER R NUMBER <br /> PER PER R# PER#► <br /> eotw EXP.DATE- EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK cowarm , <br /> Mn" mom <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE W CANDMTIONS 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 FREOUENCY 13 14 <br /> MONITORING RECORDS MAKIAINED 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 131 132 <br /> UNAUTHORIZED RELEASES REPORTED33 34 ALL—__SAFETY HAZARD 36CONDITIONS ABATED 37 -_ <br /> TEMPORARY TANK CLOSURE "_ f <br /> a <br /> h. :t dX 'VSs <br /> REMOVAL OF RESIDUAL W42 <br /> FLAMMABLE VAPORS REMOVED - <br /> ACCESS LOCATIONS SEALED POWER DISCON ECTED OWNER/OPERATOR MONITORING - --_-------_� __ _� <br /> PERMANENT TANK CLOSURE <br /> RE MATE 46 47 <br /> PIPING 4849 <br /> FLAMMABLE VAPORS REMOVED 50 - <br /> LINAU7HORIZED RELEASE 51 52 <br /> SAMPUNG 53 54 -- <br /> IMPROPER ABANDONMENT 55 156 -- <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND ST CORRECTED AS <br /> S1f5TEM STATUS 11�N1ST MARK ONE) FOLLOWS: Ap <br /> /1 <br /> 57 58 59 <br /> VIOL.MAJOR ❑ VIOL MINOR ❑ NO <br /> VIOL.. <br /> OFFICE: INSP: V/6 / RECEIVED BY: <br /> TITLE: �Q-� ,5 PHONE: RECK: <br /> HUT-3 ORIGINAL Sias 0- <br />