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11 <br />CHANGE IN CONDITIONS TO OPERATE <br />U&GROUND TANK OFFICIAL INSPECTION ART <br />@ <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />REMOVAL OF RESIDUAL MATERIALS 46 47 <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joaquin Street <br />COUNTY NAME <br />Mailing Address: P.O. Box 388 <br />Stockton, CA 95201-0388 <br />COUNTY # 397 <br />FLAMMABLE VAPORS REMOVED 50 <br />468-3420 <br />SITE NAME: <br />APPROVED MONITORING SYSTEM <br />INSPECTION DATE: /0—.30-9"t" <br />SITE ADDRESS: <br />14'- <br />CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? <br />FORM <br />YES NO <br />TANK z_/ <br />TANK 2,1-, <br />TANK Zc:3 <br />TANK <br />A AND/OR B SUBMITTED? <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />15 16 <br />ACCESS CASING SECURED <br />PER # <br />PER # <br />PER # <br />PER # <br />PIPING <br />EXP. DATE <br />EXP. DATE <br />EXP. <br />EXP. DATE <br />OPERA'nONAL TANK <br />TANK CONTENTS <br />-- --- <br />-DATE <br />2174122 <br />TANK GAUGING <br />23 1,1 24 <br />MAJOR MINOR <br />........ <br />PERMIT TO OPERATE <br />25 p7 _i6 <br />-------------- <br />1 2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />@ <br />REMOVAL OF RESIDUAL MATERIALS 46 47 <br />APPROVED CONSTRUCTION <br />PIPING 48 49 <br />5 .6 <br />WRITTEN MONITORING PROCEDURES <br />f ---------- <br />FLAMMABLE VAPORS REMOVED 50 <br />7 V* _8 <br />APPROVED MONITORING SYSTEM <br />9 V' 10 <br />MONITORING SYSTEM <br />11 12 <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />MONITORING RECORDS MAINTAINED <br />MAJOR MINOR NO 59 <br />— <br />VIOL. �r - VIOL. 5❑ 8 VIOL. 1-1 <br />15 16 <br />ACCESS CASING SECURED <br />17 18 <br />PIPING <br />19 20 <br />INVENTORY RECONCILIATION <br />-- - <br />-- --- <br />2174122 <br />TANK GAUGING <br />23 1,1 24 <br />........ <br />APPROVED RESPONSE PLAN <br />25 p7 _i6 <br />-------------- <br />--- --a_-._. _. <br />----------- <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 2 <br />SAMPLING <br />29 30 <br />APPROVED TANK REPAIRS <br />31 32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 34 <br />SAFETY HAZARD <br />35 36 <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />R <br />38 39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 42 <br />POWER DISCONNECTED <br />mm 43 <br />OWNER/OPERATOR MONITORING <br />44 45 <br />PERMANENT TANK CLOSURE <br />@ <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 i55 56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />;YSTEM STATUS (MUST MARK ONE) <br />MAJOR MINOR NO 59 <br />— <br />VIOL. �r - VIOL. 5❑ 8 VIOL. 1-1 <br />OFFICE- IN --D- RECEIVED BY: <br />TITLE: PHONE: BECK: <br />H[IT—.2 Whits -®veinal Yellow -Owner's Conv Pink-Filp('mnv <br />