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• UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT <br />VSAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />STOCKON, CACOUNTY NAME Sa�,yL �� �L PHONETNO. 468-934235205 <br />68934203 COUNTY <br />SITE NAME:5 L v j <br />et a-� utlal <br />INSPECTION DATE: 3 -ao - F/ <br />SITE ADDRESS:336 a We <br />e s <br />CITY/STATE/ZIP s��Cpj- <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO TANK D f <br />TANK 0,?, TANK 0 3 TANK b <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />COMPUTER COMPUTER COMPUTER <br />NUMBER <br />NUMBER NUMBER NUMBER <br />TYPVE�O,,FFry INSPECTION SITE COMPUTER # <br />PER # <br />PER # PER # PER # <br />` I (� <br />DATE EXP. DATE EXP. DATE <br />V <br />EXP. DATE <br />EXP. <br />OPERATIONAL TANK TANK cornerns <br />MAJOR MINOR <br />PERMIT TO OPERATE 1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE 3 <br />4 <br />APPROVED CONSTRUCTION 5 <br />6 <br />WRITTEN MONITORING PROCEDURES 7 <br />8 <br />APPROVED MONITORING SYSTEM 9 <br />10 <br />MONITORING SYSTEM 11 <br />112 <br />APPROVED MONITOR FREQUENCY 13 <br />14 <br />MONITORING RECORDS MAINTAINED 15 <br />16 <br />ACCESS CASING SECURED 17 <br />18 <br />PIPING 19 <br />20 <br />INVENTORY RECONCILIATION 21 <br />22 <br />TANK GAUGING 23 <br />24 <br />APPROVED RESPONSE PLAN 25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />SAMPLING 29 <br />30 <br />APPROVED TANK REPAIRS 31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />mw <br />SAFETY HAZARD 35 <br />36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL 38 <br />39 <br />FLAMMABLE VAPORS REMOVED 40 <br />ACCESS LOCATIONS SEALED 41 <br />42� <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR-MONITORING 44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 46 <br />47 <br />PIPING 48 <br />49 <br />FLAMMABLE VAPORS REMOVED 50 <br />w <br />UNAUTHORIZED RELEASE 51 <br />52 <br />SAMPLING 53 <br />54 <br />IMPROPER ABANDONMENT 155 <br />1564 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: Za--e'MAJOR <br />57 58 59 <br />NO <br />❑ ❑ ❑ <br />VIOLL..R <br />VIOL. VOL. <br />OFFICE: <br />INSP: <br />%� . <br />CEIVE r <br />TITLE: <br />HUT -3 ORIGINAL Sias - <br />