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UNDERGROU TANK PROGRAM OFFICIAL INS( TION REPORT <br /> SAN JOAOUIN HEALTH DISTRIC�I''� <br /> 1601 E.HAZELTON AWE. <br /> # <br /> STOCKTON, CA 95M Cj <br /> �S� PHONE NO 4 -.UM II <br /> SITE NAME: BS I YJC.�ir INSPECTION DAM-S-/1-4*1 <br /> SITE ADDRESS: �f3 �ba l G'�eSt fj' iTY/STATE/ZIP �' Olt <br /> CHANGES SITE/OWNER/PERMIT? YES TANK ! TANK TANK <br /> TANK p <br /> ORM A AND/OR B SUBMITTED? R G} COMPUTER R <br /> TYPE OF INSPECi1QN SITE COMPUTERNUMBER NUMBER♦ NUMBER <br /> PER# :;A3 l PER# 2 a3 ! PER* PER <br /> r r EXP. EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK Mm CONTOM L :z <br /> mki 1'12k� <br /> MA"liMM <br /> PERMIT TO OPERATE 1 2 _ <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 8 <br /> WRITTEN MONITORING PROCEDURES 7 5 <br /> APPROVED MONnDRING SYSTEM 9 10 <br /> MONnORING SYSTEM 11 112 <br /> APPROVED MONITOR FREOUENCY 13 14 <br /> MONITORING RECORDS MAWTAINED 15 18 <br /> ACCESS CASING SECURED 17 1$ iv Af <br /> PIPING 19 20 -17 Ily <br /> 94VENTDRY RECONCILIATION 21 22 <br /> TANK GAS 23 124 <br /> APPROVED RESPONSE PLAN 25 25 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 25 <br /> SAMPLING 29 30 677 <br /> APPROVED IAW REPAIRS 31 32 _ <br /> UNAUTHORIZED RELEASES REPORTED 134 <br /> SAFETY HAZARD 35 35 <br /> CONDITIONS ABATED 37 — <br /> TEMPORARY TANK CLOSURE <br /> #r.. _ <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONffORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOIGAL OF RESIDUAL MATERIALS 4647 <br /> PIPING '48 49 <br /> FLAMMABLE.VAPORS REMOVED SO <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPUNG 53 54 <br /> IMPROPER ABANDONMENT 55 58 <br /> I 1 4 <br /> THE MARKED ITEMS REPRESENT V% TI AND MUST BE CORRECTED AS <br /> SYSTEM STINM 1MLIST MARK ONE) <br /> 57 58 59 <br /> MAJOR MN40R NO <br /> VIOL ❑ VIOL_ ❑ VIOL.❑ <br /> OFFICE: INSP• RECEIVED SY: <br /> TITLE: PECK: <br /> HUT-3 OR GINAL <br />