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ONDERGRQ "'D TANK PROGRAM OEEIC&AL ;NS-—�C_nQKH REPORT
<br /> SAN JOAQUIN HEALTH DISTRIG
<br /> 1601 E. HAZELTON AVE.
<br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # q
<br /> PHONE= NO. 468.3423 r
<br /> 4SITE NAME ` ".,;�� G7ti'G� - INSPECTION DATE:
<br /> SITE ADDRESS.- • �� J Si CITY/STATE/ZIP
<br /> !CHANGES SITE YES NO T K TANK TANK TANK
<br /> ,ORM A AND/OR B SUBMITTED? COMPUT COMPUTER COMPUTER COMPUTER
<br /> NUMBER,OUQU NUMBER NUMBER NUMBER
<br /> ,YPE OF INS 1 SITE COMPUTER#
<br /> PER # )t ER # PER# PER #
<br /> !NN`G.SOI SOt // / EXP.DATE il EXP.DATE EXP.DATE EXP.DATE
<br /> OPERATIONAL TANK
<br /> TANK CONTENTS +'.,:eb r.,y l^' 'f / _ ::y .sy~i.•, +:! .,:t•fi%j";'."•.±'" 'v;;.v "%'.K; %srv"':1k} i?;,
<br /> :.. , .;�,+�f�cj:,;;: �: h> � ...�,�<.ys'-%�/, a' 'd-` �':~z :,...•�.;,:.-G,<.
<br /> ;'k .' ,Y3 'J.'+;i'" .: ✓�,,. G..';rG//f '"il'�'.r'r +" ,.. �r ',fi✓.::'ate ,r;%.%x'n."y;
<br /> � MAJOR MINOR .��� �?a ,--,T.c.<;' ..3x.% r- i:•-::s%fi�✓:.�° /rf. '?a�/�.'��%�,�`,- �:''v..+. >+Y,.p•,.:: �Y�.r
<br /> PERMIT TO OPERATE 1 2
<br /> CHANGE IN CONDMONS TO OPERATE 3 4
<br /> APPROVED CONSTRUCTION 5 6
<br /> r WRITTEN MONITORING PROCEDURES 7 8
<br /> APPROVED MONITORING SYSTEM 9 110
<br /> _...._. ...__...................- _.._............. . _ ......._........... .............
<br /> MONITORING SYSTEM 11 12
<br /> ...APPROVED MONITOR FREQUENCY 13 14 _...............;:.,_.. - ._..... _ .._.._.. _w^.�.. `..._^.. _.... ._..... _.._-_...v -
<br /> MONITORING RECORDS MAINTAINED 15 16
<br /> ACCESS CASING SECURED 17 18
<br /> PIPING 19 20
<br /> INVENTORY RECONCILIATION 21 22
<br /> TANK GAUGING A2728
<br /> _....._._...............__......_....._ ._....._................._.. _........... __..,,....... ,_..__........_...-......._......_.__...__...._._...._._._._
<br /> APPROVED RESPONSE PLAN
<br /> UNAUTHORIZED RELEASE OCCURRENCE SAMPLING APPROVED TANK REPAIRS UNAUTHORIZED RELEASES REPORTEDSAFETY HAZARD CONDITIONS ABATED
<br /> 57;:.y��n•:•=W''. :.:1:•�ff�,+�...!�.w�/H y. .� nye+�t�,y _ n
<br /> .>j}•,,!!•.�' ,5:.'�f
<br /> TEMPORARY TANK CLOSURE Yom. ">'•:.,r, sem. >_s, . � ` ,, �
<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 /> `�' £ ^'�;.v.
<br /> PERMANENT TANK CLOSURE "' Y
<br /> ���+,i�� .9+,'�y,'�.3�"/ �'Li?>'�%�•✓"�.�+{i�'' �� 4^f' eSy.-.�+`�,3 rz;:s X �+
<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 /> 6SYSTEM STATUS(MUST MARK ONE) FOLLOWS 7,10-
<br /> MAJOR MINOR Ju NO {�J G C L�✓'IJGv+ --�" _ - --- T _
<br /> VIOL ❑ VIOL_ ❑ _VIOL.X vf� � '
<br /> l
<br /> n
<br /> OFFICE: INSP- - RECEIVED BY:
<br /> _ TITLE fPHONE: BECK.
<br />
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