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UNDERGROUNNK PROGRAM OFFICIAL INSPEN REPORT <br />N JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME <br />CA 95205 <br />COUNTY # <br />lSTOCKTON, <br />PHONE NO. 468-3423 <br />SITE NAME:0 u" <br />" <br />a-, <br />INSPECTION DATE: <br />SITE ADDRESS: <br />n o'l� l..-a CITY/STATE/ZIP t <br />CHANGES SITE/OWNER/ ERMIT? <br />YES NO TANK TANK <br />TANKTANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER COMPUTER <br />COMPU ER COMPUTER <br />NUMBER NUMBER <br />NUMBER NUMBER <br />TYPE OF INSPECTION SITE COMPUTER # PER # PER # <br />PER # PER # <br />s/ EXP. DATE EXP. DATE <br />EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />APPROVED MONITORING SYSTEM <br />9 10 <br />MONITORING SYSTEM <br />11 12 <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />' <br />ACCESS CASING SECURED <br />17 18 <br />PIPING <br />19 20 <br />INVENTORY RECONCILIATION <br />21 22 <br />TANK GAUGING <br />23 24 <br />APPROVED RESPONSE PLAN <br />25 26� <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 28 <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 />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 45 <br />PERMANENT TANK CLOSURE <br />MEANS <br />REMOVAL OF RESIDUAL MATERIALS <br />46 47 <br />PIPING <br />48 49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />u <br />UNAUTHORIZED RELEASE <br />51 52 <br />SAMPLING <br />53 54 <br />IMPROPER ABANDONMENT <br />55 156 <br />THE MARKED ITEMS REPRE NT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: C <br />MAJOR 57 MINOR 58 NO <br />❑ <br />59 <br />❑ <br />VIOL. VIOL. VIOL. <br />OFFICE: <br />INSP:-r,t;�l „ <br />RECEIV Y: <br />TITLE:? �^ 11 S <br />Tl <br />PHONE: <br />BECK: <br />HUT-3 <br />ORIGINAL <br />5/88 O <br />