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UNDERGROUN",TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> ( iAN JOAQUIN HEALTH DISTRICT` <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME J STOCKTON, CA.95205 <br /> PHONE NO. 468-3423 COUNTY # 3 <br /> SITE NAME: <br /> ,vfcc �e INSPECTION DATE: <br /> SITE ADDRESS: <br /> go CITY/STATE/ZIP <br /> ( asm� s TATE/Z!P <br /> CHANGES SITE/OWNER/PERMIT? Y NO TANK f TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER E � <br /> COMPUTERCOMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER# PER# PER # PER# <br /> N !a EXP DATE EXP DATE EXP DATE EXP DATE <br /> OPERATIONAL TANK TANKCONTENTS <br /> MAJOR MINOR A <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 - — <br /> APPROVED CONSTRUCTION 5 g <br /> i <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 -- <br /> MONITORING SYSTEM 11 12:3 <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 33 134 . <br /> SAFETY HAZARD 35 36 �" <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE ' h <br /> P .e=. <br /> REMOVAL OF RESIDUAL 38 39 _ � 3 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED 41 42 _.— <br /> POWER DISCONNECTED � <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <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 REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS{MUST MARK ONE) FOLLOWS: e 'L k- <br /> de--�f ,U ov«fs ca <br /> MAJOR 57 MINOR 58 59 <br /> N �. « <br /> VIOL, ❑ VIOL. ❑ VIOL. <br /> OFFICE:. INSP: . !J y RECEIVED BY: M <br /> a(iTITLE: PHONE: <br /> FREK: <br /> HUT-3 ORIGINAL <br />