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UNDERGROUC'"" TANK PROGRAM OFFICIAL JOAQUIN HEALTH D STRICTI ^T10N REPORT 1601 E. HAZELTON AVE. %i COUNT'! NAME .115 J�Q STOCKTCA -3423 COUNTY # 5q PHONE NO.NO. 468-3423 SITE NAME: CDS n '` INSPECTION DATE: 3-9- CITY/STATE/ZIP -9_9 / CITY/STATE/ZIP SITE ADDRESS: t � �, �j'jQ/t L�i1ZQ� CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK FORM A AND/OR B SUBMITTED? NOM UMBER COMPUTER NUMBER COMPUTER COMPUTNUMBER NUUMBERER TYPE OF INSPECTION SITE COMPUTER# PER# PER # PER# PER # EXP.DATE EXP.DATE EXP-DATE EXP. ATE TANK CONTENTS z _ - OPERATIONAL TANK MAJOR MINOR PERMIT TO OPERATE 1 2 .—.- CHANGE IN CONDITIONS TO OPERATE 3 4 — APPROVED CONSTRUCTION 5 6 ___. WRITTEN MONITORING PROCEDURES 7 8 -- -- - APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 11 12 APPROVED MONITOR FREQUENCY 13 14 MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED 17 18 _ - PIPING 19 20 — -- - - INVENTORY RECONCILIATION 21 22 -,-.- "- - TANK GAUGING 23 24 APPROVED RESPONSE PLAN 25 26 UNAUTHORIZED RELEASE OCCURRENCE 27 28 SAMPLING29 30 32 APPROVED TANK REPAIRS 31 -- - - --- "— - UNAUTHORIZED RELEASES REPORTED 33 34 --- - SAFETY HAZARD 35 36 CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 38t45 — ERMANENT FLAMMABLE VAPORS REMOVED - - ACCESS LOCATIONS SEALED 41 POWER DISCONNECTED 43 OWNER/OPERATOR MONITORING 44 TANK CLOSU VAL ATERIALS 46 47 O PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 52 UNAUTHORIZED RELEASE 51 - SAMPLING 53 54 ---- - - IMPROPER ABANDONMENT 55 56 THE MARKED ITEMS REPRESENT Vl44A710NS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: 57 59 MAJOR ❑ MINOR 58 NO VIOL. VIOL. ❑ VIOL. OFFICE: INSP' RECEIVED BY: BECK: TITLE:�� PHONE: sres ,AUT-3 '�R1C�ii+IrL