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UNDERGROUr TANK PROGRAM OFFICIAL INSPr' TION REPORT <br /> "N-%,l_iAN JOAQUIN HEALTH DISTRICT,-o,' <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # 31�' <br /> PHONE NO. 468-3423 <br /> SITE NAME: �ST�/L Gt/vi /3� sj¢-G��s INSPECTION DATE./ Z-7 <br /> SITE ADDRESS: _2G CITY/STATZI����d <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK 'Z TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTE COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBERS NUMBER O -NUMBER <br /> D PER# PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS F h <br /> MAJOR MINOR <br /> PERMIT TO OPERATE <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 15X 16 <br /> ACCESS CASING SECURED 7 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 34 <br /> SAFETY HAZARD <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 ^ <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 — <br /> FLAMMABLE VAPORS REMOVED 50 m <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 -__.- <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE JORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 MIN58 59 r <br /> VIOL..MAJOR ® VIOLL..R ❑ VOL.❑ c <br /> OFFICE: INSP: R IVED Y: <br /> / 1 G <br /> TITLE: 9,5,, PHON `� 77 BECK: i <br /> HUT-3 ORIGINAL �L 5/88 C € <br />