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ISORGROUND TANK OFFICIAL INSPECTIOART <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joaquin Street <br />Mailin Address: P n 0—ma <br />COUNTY NAME Stockton, CA 95201-0388 <br />468.3420 <br />SITE NAME: <br />gig, tr— 71— <br />SITE ADDRESS: <br />CHANGES SITE /OWNER/PERMIT? YES No <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />NUMBER <br />NUMBER <br />PER # <br />TYPE OF INSPECTION <br />, <br />SITE COMPUTER 0 <br />pre <br />E/ <br />EXP. DATE <br />EXP. DATE <br />OPERAT16NAL 'TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 2 <br />51 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />APPROVED MONITORING SYSTEM <br />9 110 <br />MONITORING SYSTEM <br />11 12 <br />56 <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />ACCESS CASING SECURED <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: r,- <br />17 1 <br />PIPING <br />19 20 <br />INVENTORY RECONCILIATION <br />21 22 <br />TANK GAUGING <br />23 24 <br />APPROVED RESPONSE PLAN <br />25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 2 <br />SAMPLING <br />29 30 <br />APPROVED TANK REPAIRS <br />31 32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />SAFETY HAZARD <br />35 36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 39 <br />I <br />INSPECTION DATE: '5--,3 <br />CITY/STATE/ZIP --7-2pr e - <br />TANK <br />TANK ----) <br />TANK <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER <br />NUMBER <br />NUMBER <br />PER # <br />PER # <br />PER # <br />EXP. DATE <br />EXP. DATE <br />EXP- DATE <br />FLAMMABLE VAPORS REMOVED 40 <br />ACCESS LOCATIONS SEALED 41 42 <br />POWER DISCONNECTED M43 <br />OWNER/OPERATOR MONITORING 44 U45 <br />PERMANENT TANK CLOSURE <br />NO <br />I'm 111.1 M-1 - I <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />147 <br />PIPING <br />48 <br />149 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: r,- <br />SYSTEM STATUS (MUST MARK ONE) <br />57 58 <br />MAJOR MINOR <br />VIOL. 0 VIOL. ❑ <br />59 <br />NO <br />VOL. LJ <br />INSP: <br />TITLE: PHONE. BECK: <br />HUT -3 WNte - Original Yellow - Owner's Copy Pink - File CoDv <br />