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UNDERGROUR TANK PROGRAM OFFICIAL INSPF -ION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMEJ STOCKTON, CA 95205 COUNTY #,5 <br /> �J PHONE NO. 468-3423 <br /> SITE NAME: 7 C INSPECTION DATE: <br /> SITE ADDRESS: 3s05_ N5�.y DR)dE CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK 5 TANK(p TANK �- <br /> FORM A AND/OR B SUBMITTED? COMPUT R COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBE NUMB R <br /> TYPE OF INSPECTION SITE COMPUTER # 141040 4f�L /400 CrAL QO G v_ 06 Cv*L <br /> PER # PER # PER # PER# <br /> g�g �R www �.o«.. <br /> EXP.DATE EXP.DATE 1�YC� EXP.DAT 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 y <br /> WRITTEN MONITORING PROCEDURES 7 8 X _ <br /> APPROVED MONITORING SYSTEM 9xllo _ <br /> MONITORING SYSTEM 11 12 _ <br /> APPROVED MONITOR FREQUENCY 13 14 I <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 <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 35 36 <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 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 155 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 58 59 <br /> MAJOR 57 MINOR NO <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INSP: (� � RECEIVED BY: <br /> TITLE: E�.5� PHONE: <br /> HUT-3 ORIGINAL 5/88 01 <br />