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TANK PROGRAM <br /> --- UNDERGROU SAN JOAG1l11N HEALTH DIMI <br /> 1601 E.f{AZELTON A <br /> VF. Q <br /> STOCKTON, CA 95205 `� county # l <br /> COUNTY NAME �� ' P4iONE 140, 468-3423 _ y <br /> 1NSPEMN DATE: o�lZg f <br /> SITE NAME: <br /> CITY/STATE/ZIP5376 <br /> SITE ADDRESS: yclq'l t�tks� �rh1 +0 fcr' 12 Tra CA <br /> CHANGES SITE/OWNER/PERMIT? E NO_ ANK ( TANK 14 �- TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER IsSI-oI NUMBER 1551-0_- NUMBER NUMBER <br /> TYPE OF INSPECTION - SITE COMPUTER# "' PER# PER# PER# PER# <br /> GST x mot-t-/ ISS EXP.DATE' EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK UWI(coNTEN7S <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 r.. <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 :. <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 34 <br /> SAFETY HAZARD 35 - 36 <br /> CONDITIONS ABATED -37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39— _ . __. ..., .._. <br /> FLAMMABLE VAPORS EMOVED <br /> . A ._,. . . <br /> ACCESS LOCATIONS SEALED 41..... 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 _ __ <br /> PERMANENT TANK CLOSURE Y <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 r <br /> FLAMMABLE VAPORS REMOVED 50 Eyyb <br /> ::Kdiia <br /> I-,:--I. <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 ., <br /> - THE MARKED ITEMS REPRESENT <br /> VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARKONE) L-. _ r y♦ - ? L1 • .� <br /> /N3i7.� r/�ft3r�I�G�CtA�' f rf Q59 <br /> Iw� dw `r W�tS IOCG " ' ._ eT' TING ESTI L <br /> wN: u,.,,. t .n,. � �r�• ��. A - �iC�G I'" C�' OTCri •rroks '�,fen,G lN� '�. "'I +vF `�. <br /> X58 <br /> f <br /> MAOR :MINQ�i NO; <br /> J .,,� t .k CeAd•/�IeN - oils o - ..� "'.. <br /> VIOL" ❑ VIOC ❑ VIOL , , ce- <br /> ` <br /> SlL OFFICE: " __ INSP ,. RECEIVE if 7,47m <br /> TITLE: ',c�i>�a(;a PHONE: - - BECK: <br /> ,.. <br /> HLfT-3m s ORIGINAL X31 `� µ j H Ws8 �k <br /> • �I ' I Y?I 7 }}Y7 Nr I } '�il}Z3��2I7(#}i;ij .? i,iY }}.i 7 S is fi I.i (• ? ?3 :, Y 7x1- f:. ?i. .] .� r ? :til <br /> .I 7. ! 7 :7� t? .._ 7 1 7 Y <br />