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1:.INDERGRili1�`, TANK PROGRAM OFFICIAL INSPF `7100 RF-PORT <br /> SAN JOAQUIN HEALTH DISTRIC I <br /> 1601 E. HAZELTON AVE <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # {( <br /> PHONE NO. 468-3423 <br /> ;ITE NAME: INSPECTION DATE�-__�, z .2 <br /> ',ITE ADDRESS: CITY/STATE/ZIP <br /> ;HANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> -ORM A AND/OR B SUBMITTED? COMPUTE COMPUTER COMPUTER COMPUTER <br /> Y OF INSPECTION SITE COMPUTER# NUMBEV00© NUMBER- NUMBER NUMBER <br /> /� PER# PER# PER# PER# <br /> � �� EXP.DA EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS o '•�!i _ .' 3• r 'y�tS- .< :/ 'r' n +". r�il�', <br /> OPERATIONAL TANK <br /> MAJOR MINOR f ss'ry., ,�bi.�� � '� / s'f'..s`���f�`is+�-." `�� ,' ,taw �s's'-;x.r}♦ <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 /> _._............._.___.___ _.__.._.. _._.... __. _. ......... <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ..ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> ' INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 x <br /> _.._. -----_ _ ------ .._- _ ........... ..._. <br /> `APPROVED RESPONSE PLAN 25 26 <br /> _ -.__... . ... .. _..__....._._.,. .- _. ....,,.,. ,.. ........ <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> _------------ _._ ._ <br /> APPROVED TANK REPAIRS 31 32 <br /> .. ----..... - ... - . ..._.__...... ... ... . __.-. <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> I 61" <br /> }._. y :-ir'` .tir yp_.tj f'I' ,o"%•j$ iGT :y'r.S�.fi <br /> TEMPORARY TANK CLOSURE � ��� tix i' A' <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 MI <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> gg <br /> r. PERMANENT TANK CLOSURE W_. 11ffi <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> _ -------- <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> ........ ... .........._. ......-. ....- _..... .....__.. _. _.......... . ...._. <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE ARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: ��� -T - � — -- <br /> r 57 .58 Aq <br /> MAJOR ® VOL . ❑ VOL.❑ — _ <br /> VIOL. <br /> OFFICE INSP: RECEIVED BY: <br /> TITLE: D j5:AL! PHONE: RECK: <br />