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UNDERGROU"^ TANK PROGRAM OFFICIAL INSP'TION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC. <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> ITE NAME: C fr ti j�_r0(0'4S INSPECTION DATE:r lo, / <br /> ITE ADDRESS: 3S3 S lvl r f/ CITY/STATE/ZIP <br /> (CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK 3 TANK <br /> [FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER / <br /> YPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> p� PER# t6ggti� PER# fb�'OL PER# rl6 Gam'-Uj PER# <br /> `� �U7f.S�OS4 <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TMKCONTEN75 <br /> MAJOR MINOR <br /> HERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> NRITTEN MONITORING PROCEDURES 7 8 T~ _ <br /> APPROVED MONITORING SYSTEM - 9 10 V iJ ry,i,.yff <br /> MONITORING SYSTEM . 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> ONITORING RECORDS MAINTAINED 15 16 <br /> v <br /> rACCESS CASING SECURED 17 18 <br /> PIPING 19 20 S <br /> INVENTORY RECONCILIATION 21 22 <br /> TTANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> TSAMPLING 29 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> 111111TCONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED W4445 <br /> ACCESS LOCATIONS SEALED ITPOWER DISCONNECTED OWNER/OPERATOR MONITORING <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) <br /> FOLLOWS: <br /> `f MAJOR 57 MINOR 58 NO <br /> VIOL ❑ VIOL ❑ VIOL. 59 <br /> OFFICE: INSP: e at.vl c3 RECEIVED BY: <br /> TITLE: PHONE: PECK: <br /> siaa ©, <br /> 'UT-3 ORIGINAL <br />