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U <br />fSITE NAME: <br />.• `I D •- - : ivA <br />U GROUND TANK OFFICIAL INSPECTION ROT <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joaquin Street <br />Mailing Address: P.O. Box 388 <br />Stockton, CA 95201-0388 <br />468-3420 <br />® CITY/STATE/ZIP <br />NO TANKZ TANK <br />_ COMPUT COMPUTER <br />NUMBER NUMBER <br />F rM c/ R # PER # PER # <br />OPERATIONAL TANK 15 <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />114 171 ' • • m <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />• f <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />SYSTEM STATUS (MUST MARK ONE) <br />EXP. DATE EXP. DATE <br />TANK CONTENTS <br />MAJOR MINOR <br />1 2 <br />3 4 <br />5 6 <br />7 8 <br />9 10 <br />11 12 <br />13 14 <br />15 16 <br />17 18 <br />19 20 <br />21 22 <br />23 24 <br />25 26 <br />27 28 <br />29 30 <br />31 32 <br />33 34 <br />35 36 <br />m <br />�� <br />�Iw� <br />IMI <br />F <br />=m <br />=m <br />�m <br />MAJOR MINOR 58 NO 59 <br />VIOL. VIOL. ❑ <br />57 VIOL. ❑ <br />OFFICE: L INSP; <br />TITLE: C. <br />I s <br />INSPECTIONI D. <br />TANK <br />COMPUTER <br />NUMBER <br />PER # <br />TANK <br />COMPUT <br />NUMBER <br />PER # <br />EXP. DATE <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />RECEIVED BY: <br />900 , <br />lim <br />BECK: <br />