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UNDERGROU` TANK PROGRAM OFFICIAL INSPr",TION REPORT <br /> -SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME '_5Q/L'i STOCKTON, CA 95205 COUNTY # -3 <br /> PHONE NO. 468-3423 <br /> SITE NAME: 1 C � S`, q //z �,v��f`/4 INSPECTION DATE: 7 <br /> SITE ADDRESS: / 'li�� — P CITY/STATE/ZIP 5�1� 21 C� �1���C S <br /> _3 > _ �t� <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK 0 I TANK 0 TANK CTANK e) (IL <br /> FORMA AND/ORB SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION COMPUTER# <br /> c� M / PER # PER# PER # PER # <br /> SITE <br /> l 1 ► ��� <br /> _71 -7 & 6 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 _�Q <br /> APPROVED CONSTRUCTION 5 6 540 <br /> � <br /> WRITTEN MONITORING PROCEDURES, 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 114 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 M <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 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 ME <br /> ACCESS LOCATIONS SEALED 41 42w <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 <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: <br /> 57 58 <br /> MAJOR MINOR NO 59 <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INSP:: RE T VED y. A <br /> TITLE: PHO E: BECK: <br /> � C�-f-S <br /> HUT-3 ORIGINAL siss O" <br />