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UNDERGROUN[''TANK PROGRAM OFFICIAL 1NSPE`;°rION REPORT <br /> SAN JOAOUIN HEALTH DISTRICT ` Q <br /> 1601 E. HAZELTON AVE. CDUt+i3Y # 3 <br /> STOCKTON, CA 95205 <br /> TY NAME PHONE NO. 468-3423 <br /> � INSPECTION DATE: r � <br /> SITE NAME: ALEX (riTL t-` Lr N D �7 / <br /> TA <br /> �7j / l- <br /> SITE ADDRESS: 'rJ �' 69AN-L,/�li ^'� TANK <br /> TANK: "L TA <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK UMBER . <br /> FORM A AND/OR B SUBMITTED? NUMBER ER d COMPUTER Q a NUMtBEREypOa . UMBER . <br /> NUMBER 3 U <br /> TYPE OF INSPECTION SITE COMPUTER# PER # J PER# PER# ER # <br /> �7 U EXP DATE <br /> '/ EXP DATE EXP DATE <br /> VAN <br /> EXP DATE <br /> OPERATIONAL TANK TANK coNrelyis ds � 3 <br /> MAJOR MINOR i? <br /> PERMIT TO OPERATE <br /> CHANGE IN CONDITIONS TO OPERATE -- <br /> APPROVED CONSTRUCTION _-- <br /> WRITTEN MONITORING PROCEDURES <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 -- <br /> APPROVED MONITOR FREQUENCY 13 14 �-- <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 /> __� ..-- <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> S -__---------.--_. <br /> SAMPLING. 29 30 __- - ------ ----- -- -- - <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 136 <br /> " CONDITIONS ABATED 37 <br /> t <br /> { TEMPORARY TANK CLOSURE w '� <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATORLNONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> MR <br /> REMOVAL <br /> n�o�.." <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED <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: <br /> 57 58 9 <br /> MAJOR MINOR NO <br /> VIOL ❑ VIOL. ❑ VIOL <br /> 19 dp <br /> OFFICE: INSP: 'RECEIVED BY.: <br /> TITLE: � PHONI=: Rl CK: <br /> i <br /> HLIT-3 ORIGINAL sine QM <br />