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UNDERGROUN "ANK PROGRAM OFFICIAL INSP'Ez, ""-)N REPORT <br /> ,N JOAQUIN HEALTH DISTRICT <br /> 1501 E HA7F1 TON AVE <br /> 'COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME r� /✓ � S �� C�( p INSPECTION DATE: <br /> 1 <br /> ITE ADDRESS: 3 3 3 CITY/STATE/ZIP ( j 3 '7,( <br /> CHANGES SITE/OWNER/PERMIT? YES NO ANK TANK TANK TANK <br /> 'DRM A AND/OR B SUBMITTED? COMPUTER !I COMPUTER COMPUTER COMPUTER <br /> _,,PE OF 1 SPEC ON SITE COMPUTER# NUMBE O 0 NUMBER NUMBER NUMBER <br /> f� PER # PER# PER# PER # <br /> Iq EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> )PERATIONAL TANK TANK CONTENTS � ,' <br /> ,, , ., <br /> MAJOR MINOR s:i� `' 4�?' •�. " �' v '�sY: tCi fi x <br /> _PERMIT TO OPERATE 1 2 <br /> -r.,HANGE IN CONDITIONS TO OPERATE 3 4 <br /> %PPROVED 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 14 <br /> MONITORING RECORDS MAINTAINED 15 X 16 <br /> ACCESS CASING SECURED 17 18 <br /> DIPING 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 <br /> CONDITIONS ABATED 37 <br /> .Y•: ,S,r'Jy,. ;« .; iy,.,-r.�ti4r.4 ��L.cF;" :,. 5}`y `:ii f`d`.y.<'6'•.: •f Y'a.:"ri' <br /> � <br /> TEMPORARY TANK CLOSURE ,;.��;<:;«<s ',t. .1 •,•s;�z�.,��;,: �. .�,:�;:�; :.�: .� >: `.,:• y;;,a•��.,;y;��,,.. <br /> WEN." :r" l� .c�. yam...' > Yom. y:....3t'• �, ��, +K�•�;% <br /> �:.:�•.� a 'sf '�". Fes^ ,t.. �.a?':�:. •.✓ {;'� '-'7t5,:.;,.,.. <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ....._ <br /> ......... ..... <br /> .._._._. ..,...._...__....::.._..._ .__._.. _.... <br /> 1 ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> .tr''4ti.o <br /> PERMANENT TANK CLOSURE '"'�''n��oQ' t�>�,•' '°' z'"" i; ' z <br /> •;�-fr'".ax•rd'a.:�:�:?%"��F'�'• ,9 F�y✓r_4, ��Vi G-:^'f,�.'" o-.••{ r+•L-. '.YY•.•.�<�y��:.��.y�'J•tn�..;5 <br /> ' v 'r• •' fS:'. S v �'•S' v` ¢. %` .Y„y.. ,<••,i:}r}.:. Gr,'Y� ;:,�:-..a.,.�:.- <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING ... — /7•._.... <br /> 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 /> 'I SYSTEM STATUS(MUST MARK ONE) FOLLOWS: No vv 1 <br /> c- V <br /> 57 58 59 c O&M I -r <br /> MAJOR MINOR NU <br /> VIOL VIOL ❑ VIOL❑ <br /> btj <br /> OFFICE: FN_SP: /,t REC B <br /> 6 r i <br /> TITLE: j� PHON REC <br /> ` 1 , <br />