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UNDERGROU '-' TANK PROGRAM OFFICIAL INSP' 'TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME S 0-,n J STOCKTON, CA 95205 COUNTY # 3 <br /> - PHONE NO. 468-3423 <br /> SITE NAME: �S-Gf,�� >v i7 "� �,� INSPECTION DATE: <br /> SITE ADDRESS: � P/� 7 j � CITY/STATE/ZIPS f�� j;(lq <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK 0/ TANK TANK Q 3 TANK USG <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> ,per j n J j� PER # PER # PER # PER # <br /> 7 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <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 5 Q (�' 0 <br /> MONITORING SYSTEM 11 12 UV 8 �o b Q <br /> APPROVED MONITOR FREQUENCY 13 14 �/�- <br /> MONITORING RECORDS MAINTAINED 15 16 a 6AG% '� <br /> ACCESS CASING SECURED 17 18 ��fy�P1 �R� r► <br /> PIPING 19 20 5 �' <br /> INVENTORY RECONCILIATION 21 22 .SuC LTJ LYcw>r/,.f1 _® <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 _ <br /> UNAUTHORIZED RELEASES REPORTED 33 34 _ <br /> SAFETY HAZARD 135 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED ME 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <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 /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: n <br /> 59 <br /> MAJOR E]MINOR 58 NO <br /> VIOL. VIOL. VIOL. <br /> oe <br /> OFFICE: INSP �eL ; Fe'EB'�Y:,� SCJ'(� C�iY, yh L� 'iZ�� 1 <br /> a5 <br /> TITLE: PHRECFSj <br /> HUT-3 ORIGINAL 5'88 n' <br />