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UNDERGROUNr TANK PROGRAM OFFICIAL INSPEC-90N REPORT <br /> ,AN JOAQUIN HEALTH DISTRr - <br /> 1601 E. HAZELTON AVE. `00.1 <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: �1 rbc — , /� INSPECTION DATE: po- <br /> �X t <br /> SITE ADDRESS: CITY/STATE/ZIP -72 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER 1 <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# [113V-01 PER# <br /> ER# PER# <br /> p� `� v✓� <br /> 1113 '1 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS ; <br /> s a� s >• 1 '� < s w1 . <br /> MAJOR MINOR <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 9 110 <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 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 — <br /> SAMPLING 29 30 .- <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 <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 ----- <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> saes me u� cv Y xt.. <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 - <br /> PIPING 48 149 <br /> FLAMMABLE VAPORS REMOVED 50 MMEA -- <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 /> � 7�' � O cQri'? mit fDlc <br /> 57 <br /> MAJOR MINOR 58 NO 59 _ See GfOt l z-. °� �,�c <br /> VIOL. ❑ VIOL. ❑ VIOL. 4 <br /> OFFICE: INSP: /1 _�� Q RECEIVED BY: <br /> TITLE: PHONE: RECK: <br /> 5/88 C <br /> HUT-3 ORIGINAL <br />