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UND GROU NK PROGRAM OFFICIAL INS (ON REPORT <br /> N JOAQUIN HEALTH ITRIC <br /> 1601 E. HAZELTON AV <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY #7 <br /> � OG �(/nl PHONE NO. 468-3423 <br /> SITE NAME: Ga5 INSPECTION DATE: O <br /> SITE ADDRESS: ZOn Marr O. CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? NO TANK ' TANK 2. TANK ?O 3 TANK <br /> GJ <br /> FORM A AND/OR B SUBMITTED? N.fs COMPUTER COMPUTER COMPUTER COMP <br /> NUMBER NUMBER NUMBER NUMBER <br /> 1 <br /> TYPE/4rOF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> 'k R�I�IO(JQ M !l EXP.DATE EXP.DATE EXP.DATE EXP.DAT <br /> OPERATIONAL TANK TANK CONTENTS <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 20 <br /> INVENTORY RECONCILIATION 21 122 <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 33 134 <br /> SAFETY HAZARD 35 136 1 _ <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED = 43 <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 50VIM <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)A)� V,V44ee FOLLOWS: <br /> MAJOR 7 MINOR NO (59 <br /> VIOL ❑ VIOL ❑ VIOL l!L! <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 �' <br />