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UNDERGROUA&TANK PROGRAM OFFICIAL INSP ION REPORT <br />SAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZ6LTON AVE. <br />STOCKTON, CA 95205 <br />COUNTY NAME COUNTY # <br />PHONE NO. 468-3423 <br />IMPROPER ABANDONMENT r55 56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: <br />57 58 59/ <br />VIOL.MAJOR❑ VIOL. VIOL. Li IMO VOL [9 <br />OFFICE: <br />I HUT -3 <br />INSP:-Mg /r-” / _ <br />TITLE: <br />ORIGINAL <br />PHONE: <br />I <br />5/88 a nn <br />SITE NAME: (� <br />�` <br />INSPECTION DATE: ll2c�� <br />SITE ADDRESS: Z - Couy-,,,k <br />�r <br />0, I U <br />CITY/STATE/ZIP <br />�'� 4- . n <br />&� <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />N <br />TANK <br />TANK Z <br />TANK 3 <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />NUMBER U. L <br />COMPUTER <br />NUMBER U - I—� <br />COMPUTER <br />NUMBER 12 <br />COMPU R <br />NUMBER rj,U, L , <br />TYPE OF INSPECTION SITE COMPUTER # <br />PER # 5000 <br />PER # 5000 <br />�2:i- <br />PER # �� <br />PER # 8000 <br />E,n(rr-A LAE <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />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 />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16_ <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 />26 <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 />34ro�— <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />"--"w"— <br />�._._ <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />w._,._ <br />POWER DISCONNECTED <br />43 <br />___.._..__ <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />_� <br />y <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />.........__M.__. _. <br />_._. _._ ..�_ <br />_„._.._.... <br />, .a...._. <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />, <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT r55 56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: <br />57 58 59/ <br />VIOL.MAJOR❑ VIOL. VIOL. Li IMO VOL [9 <br />OFFICE: <br />I HUT -3 <br />INSP:-Mg /r-” / _ <br />TITLE: <br />ORIGINAL <br />PHONE: <br />I <br />5/88 a nn <br />