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UNDERGROUt'- TANK PROGRAM OFFICIAL INSPl `TION REPORT <br /> %.,,7AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: S rS c - INSPECTION DATE: <br /> SITE ADDRESS: &i3 _ -- Is CITY/STATE/ZIP -- <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANKTANK /'� TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER �I C23COMPUTERO COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER # PER # PER# PER# <br /> C� EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANKTANK 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 _ w <br /> ACCESS CASING SECURED 17 18 _ <br /> PIPING 19 20 r <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 dI/ <br /> APPROVED RESPONSE PLAN 25 126 — <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 <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 14471, <br /> 45 <br /> RMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS r5l <br /> 47 <br /> PIPING49 ..._-.._.�.__ _ .__ _. ...__._-___. _ ................... ... <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 52 <br /> SAMPLING54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 <br /> MAJOR MINOR NO 69 ��� <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE: INSP: 'RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL <br />