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UNDERGROUN "'ANK PROGRAM OFFICIAL INSPEz °"')N REPORT' <br /> N JOAQUIN HEALTH DISTRICT <br /> i601 E. HA71`I TnN AVE <br /> -COUNTY NAME STOCKTON, CA 95205 COUNTY # C� <br /> PHONE NO. 468-3423 <br /> ITE NAME: —� /; ` ; ,� -�� X01 ,INSPECTION DATE: <br /> ! v tf- �T� <br /> ITE ADDRESS: ? 2 _ -33 CITY/STATE/ZIP � � rf��� -1 <br /> HANGES SITE/OWNER/PERMIT? YES NO tFANK TANK TANK TANK <br /> —SRM A AND/OR B SUBMITTED? COMPO ER / COMPUTER COMPUTER COMPUTER <br /> �'PE OF I SPEC ION SITE COMPUTER# NUMBE QO (9 NUMBER NUMBER NUMBER <br /> PER # /<W PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS 5 •;,c... .. ss� ,Y;�}-,. •� �F'r`ri, % .yM1woes- <br /> 01 <br /> �-.�,,Gs.•��•:w•.r� :v: �:7`'`S!'S h1:".,• ,l s•{, a' �"?.r .•G.,, ;-^'aai'*'Yf'`>.'•''t'•'' .' '{�,s <br /> OPERATIONAL TANK Vis: r r: l >`s ,. <br /> MAJOR MINOR ^} a:i.f <br /> 'ERMIT TO OPERATE 1 2 <br /> "RANGE IN CONDITIONS TO OPERATE 3 4 <br /> NPPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> "VIONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 114 <br /> MONITORING RECORDS MAINTAINED 15 , 16 <br /> .ACCESS CASING SECURED 17 18 <br /> 'IPING 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 <br /> —APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> — <br /> CONDITIONS ABATED 37 - <br /> cg, ;;r'- :{%` sib^'fi• 3:.;:Y'r`'',-`ly;`'.`..'xJ'' .5i.ia''-!':��:_?yi+'E.•.f .yx2 '.t `r,:'' » •�-�mr <br /> T MPORARY TANK CLOSURE ;�,% ..'.-'�,Ey,r'{ 4��' �`::• .�, u.' �.-x,,�,.' .max-.-'�r :��'.".r�r �:. �,, <br /> �: •� <• ' �. .�:1 a• ': �,rr:���=��.--'-;, Vis,:, <br /> r„xy..y•. "•'sfj.->'�-:, •.t..ji}�i:4.i,.:,5a•":�r, X=:%:<s.-.�.': Yt'• C�•', is�:�,. <br /> —REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED m 43 - <br /> OWNER/OPERATOR MONITORING 44 145 <br /> :: �• ..�ti H�;ti�tu'•"S? <br /> .. ;.i•� - t�:•- /a -�sya i�"s..-•;Ys. ;:�, ...,:�,7,;.{f,_`y?aa :x.,��.,r-":.�,�a�Y�,,`•�.PERMANENT TANK CLOSURE 'b1.,,•,:a,v. „x'�•;N,r~'-•,"s'�:`. <br /> . REMOVAL OF RESIDUAL MATERIALS 46 147 <br /> ,�1n 2.. <br /> PIPING 48 149 -r. <br /> — FLAMMABLE VAPORS REMOVED 50 <br /> .. ...--.. .. <br /> � <br /> UNAUTHORIZED RELEASE 51 52 ��.-. . _. . . . _ _.. . <br /> SAMPLING 53 54 <br /> _ IMPROPER ABANDONMENT 155 56 <br /> THE MARKED No ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> -SYSTEM STATUS(MUST MARK ONE) FOLLOWS_%4l( <br /> : ` „IqOl– <br /> am 57 58 59it3 w 7T71+ <br /> A Q rr <br /> MAJOR MINOR NO <br /> VIOL VIOL ❑ VIOL❑ – <br /> OFFICE: INSP: / RECE B . <br /> TITLE: lrlpk PHON REC <br />