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UNDERGROU TANK PROGRAM OFFICIAL INSP ^TION REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: 5 0. <br />SITE ADDRES6,11 c <br />CHANGE SITE WNER/PERMIT? <br />FORM A AND/OR B SUBMITTED?_ <br />TYPV OF INSPECTION SITE COME <br />w ry-�o v 0 1t L <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />SYSTEM STATUS (MUST MARK ONE) <br />MAJOR 57 MINOR 58 NO 59 LQ Q fp a kt r1 d u e <br />VIOL. ❑ VIOL. ❑ VIOL. r Q C o e W+ f I <br />G! c c cG s/ec..P P e . <br />ro u <br />OFFICE: INSP:(2_ . QGh e4l- RECEIVED BY: <br />J <br />TITLE: �I� I aI/� PHONE: BECK: <br />HUT -3 _ - ORIGINAL _ 5/88 Q <br />INSPECTION DATE: <br />�jQC�CCv1 <br />( <br />ITY/STATE/ZIP <br />9S205 <br />=S NO <br />TANK CONTENTS <br />MAJOR MINOR <br />1 2 <br />TANK (j j <br />NUMBER I <br />PER # <br />EXP. DATE <br />TANK O, -L- TANK <br />NUUMBERERI �4 bb NUMBER <br />PER # PER # <br />EXP. DATE EXP. DATE <br />O 3 <br />I y (� <br />TANKCOMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />21 <br />22 <br />23 <br />24 <br />25 <br />26 <br />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />35 <br />136 <br />37 <br />MAJOR 57 MINOR 58 NO 59 LQ Q fp a kt r1 d u e <br />VIOL. ❑ VIOL. ❑ VIOL. r Q C o e W+ f I <br />G! c c cG s/ec..P P e . <br />ro u <br />OFFICE: INSP:(2_ . QGh e4l- RECEIVED BY: <br />J <br />TITLE: �I� I aI/� PHONE: BECK: <br />HUT -3 _ - ORIGINAL _ 5/88 Q <br />