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_ UNDERGRO"M-N\TANK PROGRAM OFFICIAL INP-17'TION REPORT <br /> SAN JOAQUIN HEALTH DISTRI <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 / <br /> SITE NAME: INSPECTION DATE: ZA,b��'f <br /> SITE ADDRESS: �3 �� 3ef� CITY/STATE/ZIP S:140C f � <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK p t/ TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> 3 cl EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPE RATIO AL �( 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 1 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 3 .1 <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 35 136 <br /> CONDITIONS ABATED fr 37 <br /> r <br /> TEMPORARY TANK CLOSURE <br /> -. ......^fid.. ....- ---. ...... ...._ _.... ... <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 /> ik Or <br /> :. �. <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br />! FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> 4 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} FO� <br /> 7 58 59 <br /> MAJOR 51� MINOR NO <br /> VIOL. �L11//�J VIOL. VIOL. <br /> Al <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE:n 5 PHONE: RICK: <br /> MUT-3 �`-� OWNER'S COPY srsa OM <br />