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UNDERGROl1F_ TANK PROGRAM OFFICIAL INSP"-'TION REPORT <br /> 'SAN JOAQUIN HEALTH DISTRIC7v.p,, <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA COUNTY NAME J8 � PHONE N0. 468-3423 205 COUNTY #_347 <br /> INSPECTION DATE: <br /> SITE NAME: aZ G l <br /> SITE ADDRESS: ' Q '0f_ CITY/STATE/ZIPG� �Jr <br /> CHANGES SITE/OWNER/PERMIT? YES NCU TANK 6 / TANK TANK 03 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> NSPI=`Iy- SITE COMPUTE # EXP.DATE EXP.DATE EXP.DATE EXP.DATE I <br /> OPERATIONAL TANK TANK corireNrs <br /> �QF <br /> MAJOR MINOR <br /> T <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 /> MONITORING SYSTEM 11 112 <br /> 110-til }1 I <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 91 <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 /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 _ <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 T^ <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE . <br /> jj <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 _ I <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE `' <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 155 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS D MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: -r"'�I�.f�L, / y- <br /> 57 58 <br /> Cyr- 'sa422l 4_6 <br /> VOL- <br /> VIOL-OR OLOR V OL.a <br /> OFFICE: INSP: SDzt RECEIVED BY: <br /> TITLE: PHONE: RECK: <br /> HUT-3 ORIGINAL 5ia8 O <br />