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UNDERGROUr 0 7INK PROGRAM OFFICIAL INSPF{: 1N REPORT <br /> N JOAQUIN HEALTH DISTRICIi... <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # <br /> COUNTY NAME PHONE NO. 468-3423 4 <br /> INSPECT ION DATE: IL., <br /> SITE NAME: <br /> ��� <br /> SITE ADDRESS: 1 r! CITY/STATE/ZIPrNUMBER: <br /> a� <br /> 1 l v� e- <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK �` TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER ( COMPUTER TER COMPUTER <br /> NUMBER G�GF NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTERAXP D Q EXP.DATE EXP_DATE PER# <br /> ��Q EXP DATE <br /> TANK CONTENTS ''- v , <br /> OPERATIONAL TANK <br /> MAJOR MINOR I a --l-mm <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 } <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONfTORWG 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 21 122 <br /> TANK GAUGING 23 124 <br /> APPROVED RESPONSE PLAN 25 126 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 128 l <br /> SAMPLING_ 29 130 <br /> APPROVED TANK REPAIRS 31 32 _ <br /> UNAUTHORIZED RELEASES REPORTED 33 34 d <br /> SAFETY HAZARD 35 36 _ <br /> i <br /> CONDITIONS ABATED 37 <br /> s� <br /> TEMPORARY TANK CLOSURE : <br />! � <br /> X � ;i��., � "I_ ..��- I .- <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br />�. ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED mm 43 <br /> OWNER/OPERATOR MONITORING 44 45 x <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 ~ <br /> FLAMMABLE VAPORS REMOVED 50 L <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 _ <br /> IMPROPER ABANDONMENT 55 56 } <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MOST <br /> QBEE ORRECTTEED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: J V "av T T ` <br /> MAJOR }57 MINOR 58 59 <br /> NO <br /> VIOL. VIOL. ❑ VIOL. <br /> a l <br /> F OFFICE: IN SP: W 0121 RECEIVED BY: <br /> TITLE: > PHONE: PECK: <br /> { � E <br /> Ilrl HUT-3 ORIGINAL was O M <br />