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UNDERGROUATANK PROGRAM OFFICIAL INSP�TION REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME SQ/� �o STOCKTON, CA 95205 COUNTY # 3 <br />PHONE NO. 468-3423 <br />SITE NAME: C` O �V 1"E L INSPECTION DATE: ip/o? Lel y'% <br />SITE ADDRESS: {� O � h �- p �'� CITY/STATE/ZIP ,S�-�/ (f p- �� a Q 3 <br />f , <br />CHANGES SITE/OWNER/ ERMIT? YES NO TANK 0 TANK TANK TANK <br />FORM A AND/OR B SUBMITTED? COMPO R COMPUTER COMPUTER COMPUTER <br />NUMBER NUMBER NUMBER NUMBER <br />TYPE OF INSPECTION SITE COMPUTER # <br />A M K vleoutv 41 / 0' a I EXP. DATE � EXP. DATE EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />N <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />- <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />267p <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE,;. <br />REMOVAL OF RESIDUAL <br />138 <br />139 <br />FLAMMABLE VAPORS REMOVED <br />140 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />a -_•_..a..,... <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 __ __ _,_ __._...-._„ <br />�....___ ._._.,.,.,.• <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />w _ <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />155 <br />56 <br />THE MARKEDITEMSREPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: Se �;'-- <br />57 58 <br />59 <br />MAJVIOL. OR ❑ <br />❑ <br />❑ <br />VIOL.OR <br />VOL. <br />OFFICE: INSP: Sp RECEIVED BY: <br />TITLE: ie-+ PHONE: BECK: <br />HUT -3 ORIGINAL 5/88 0 r <br />