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3 <br />AGROUND TANK OFFICIAL INSPECTION ART <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joaquin Street <br />Mailing Address: P.O. Box 388 <br />COUNTY NAME Stockton, 6�CA 95201-0388 <br />4-_3420 COUNTY # <br />SITE NAME: INSPECTION DATE:/0 —,3 0 -5,4 <br />14 <br />SITE ADDRESS: CITY/STATE/ZIP <br />CHANGES SITE /OWNER/ PERMIT? YES NO <br />FORM A AND/OR B SUBMITTED? <br />TANKTANK <br />COMPUTA <br />NUMBER <br />PER # <br />COMPUTER <br />NUMBER <br />PER # <br />TANK <br />COMPUTEZR-7 <br />NUMBER <br />PER # <br />TANK <br />COMPUTER <br />NUMBER <br />PER # <br />TYP OF INSPECTION <br />SITECOMPUTER# <br />51 <br />52 <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />TANK CONTENTS <br />MAJOR I MINOR <br />1 2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7- 70 8 <br />APPROVED MONITORING SYSTEM <br />9 p" 10 <br />MONITORING SYSTEM <br />11 12 <br />13 14 <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />ACCESS CASING SECURED <br />17 18 <br />PIPING <br />19 <br />INVENTORY RECONCILIATION <br />21 —22 <br />TANK GAUGING <br />2317 -24 <br />APPROVED RESPONSE PLAN <br />25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 2 <br />SAMPLING <br />!29 130 <br />APPROVED TANK REPAIRS <br />31 32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 34 <br />SAFETY HAZARD <br />35 36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />m <br />FLAMMABLE VAPORS REMOVED <br />= FIRM <br />ACCESS LOCATIONS SEALED <br />Ma <br />POWER DISCONNECTED <br />i <br />OWNER/OPERATOR MONITORING <br />UNAUTHORIZED RELEASE <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />11 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />SYSTEM STATUS (MUST MARK ONE) <br />MAJOR 57 58 NO 59 <br />VIOL. FPr U <br />I I VIOL. ❑ VIOL. ❑ <br />0 CE ; <br />FFI : I INSP <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />TITLE: -f-- Azdd-) [RECK <br />HUT -3 White - 00ainal Yellow - Owner's CODV Pink - File Cnnv <br />11 <br />