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UNDERGROUND_ `,,NK PROGRAM OFFICIAL INSPE(.- IN REPORT t <br /> "N JOAQUIN HEALTH DISTRICT ' <br /> 1601 E. HAZELTON AVE. . <br /> STOCKTON, CA 95205 :! <br /> COUNTY HAM COUNTY # <br /> PHONE NO. 4$8-3423 <br /> SITE NAME: e i/� /S INSPECTION DATE: <br /> SITE ADDRESS: 7� f-: �i�r" GG f' ,e ITY/STATE/ZIP 7- f ;+ <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK ( TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER, !�t). NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTnIO_N SITE COMPUTT R% PER J�fi FUER# PER# PER <br /> -1;4/� o(/ �/ EXP.DATE' EXP.DATE EXP.DATE EXP,DATE <br /> OPERATIONAL TANK TANK CONTENTS � ��1 : <br /> Yy J C dY [ 'iL W •1`e v -J: �.� 't F. <br /> MAJOR MINOR <r 3 t l Y <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 + w <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 . 14 <br /> MONITORING RECORDS MAINTAINED 15 16 } <br /> 4 <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 k <br /> SAMPLING 29 30 f <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 '20 <br /> REMOVAL OF RESIDUAL 38 39 <br />' FLAMMABLE VAPORS REMOVED 70- <br /> ACCESS <br /> 0ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING 44 45 <br /> f LL� <br /> PERMANENT TANK CLOSURE <br /> I <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 j <br /> PIPING 48 49 I <br /> l <br /> FLAMMABLE VAPORS REMOVED 50 _ <br /> UNAUTHORIZED RELEASE. 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 —THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: { <br /> 58 <br /> MAJOR 57 MINOR NO 59 <br /> VIOL. ❑ VIOL. ElVIOL. <br /> OFFICE: INSP: v✓ RECEIVED BY: <br /> TITLE: �/ PHONE: BECK: r.' 1 <br />