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UNDERGROUINB 'rANK PROGRAM OFFICIAL INSPE;' ;ON REPORT �', G f <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E HAZELTON AVE 4, <br /> 't COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO 468-3423 <br /> SITE NAME 'r� Kj--d- - QO ( la INSPECTION DATE: /, a <br /> )ITE ADDRESS: j 5, <br /> 1 33 CITY/STATE/ZIP - <br /> f <br /> CHANGES SITE/OWNER/PERMIT. YES NO TANKTANK TANK TANK <br /> 'WORM A AND/OR B SUBMITTED? COMPUTER PUTER COMPUTER COMPUTER <br /> NUMBER 1,00 NUMBER NUMBER NUMBER <br /> ,YPE OF IN ECTION SfTEZ �COMPUTER # <br /> PER # Al PER # PER # PER # <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> _— 4iif-+ <br /> �OPERATIONAL TANK TANK corrErrs . <br /> ` <br /> MAJOR MINOR MINE <br /> s ? " <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> _. ... .............. ._.,..__.._....,.,....... .., ,....__....._...... .... ..... <br /> APPROVED CONSTRUCTION 5 6 <br /> __._... ........._..__ _....................__._ _..-..._....... .... _..... ...............- �. <br /> 1 WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> ,MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> 1 MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 X 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING29 30 ....._..........._ —._,.._ ..._ .._ _..�._.—..._. ..._.._.__..... ...__.._._..... <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> 1 SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> >SsS??. 075; <br /> TEMPORARY TANK CLOSURE .•': zya yxy'd � 's% � ';"uEsy `e` > r ;yam <br /> fLr-• 3,. <br /> ih°. J'�i'to•.�'l i .s.,� �y5y�,i.�.f;`w.�4,•.� Y-..�J`,f''�,�». .l. +��i5,':.''.c.52µ:>�:r.G.�f•L <br /> REMOVAL OF RESIDUAL 38 39 <br /> ..__...... .... ._ <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> IONIZE,� .f. <br /> PERMANENT TANK CLOSURE �. ,, {. s' <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <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 MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> "y SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> I � <br /> 57 58 59 <br /> MAJOR MINOR NO <br /> VIOL VIOL ❑ VIOL❑ <br /> ;OFFICE: lNSP: / C RECEIVED BY: <br /> TITL�/` PHONE: RECK: <br />