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J UNDERGROUo-' TANK PROGRAM OFFICIAL INSPF ' TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME ( STOCKTON, CA 95205 COUNTY # <br /> , / PHONE NO. 468-3423 <br /> SITE NAME: -a / INSPECTION DATE: <br /> V <br /> SITE ADDRESS: L�L� CITY/STATE/ZIP ''j � <br /> CHANGES SITE/OWNER/PERMIT? .YDS NO TANK O � TANK OZ vTANK 0� TANK <br /> FORM A AND/OR B SUBMITTED? lVU COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE QF INS E�CTIION SITE COMPUTER # PER # PER # PER # PER # <br /> / I I/� �/ liC/ /�� � EXP. DATE - EXP. DATE EXP. DATE EXP. DATE <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 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 118 1 _ ^ <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 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 1 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4142 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <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 55 V 56 V <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS IM ST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL VIOL. ❑ VIOL ❑ <br /> OFFICE: INSP:10mj /,O l� RECEIVED BY'./ft <br /> TITLE: PHONE: RECKTITLE: PHONE: RECK:: <br /> HUT-3 ORIGINAL stee O <br />