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,SITE NAME: <br />Allok <br />ARGROUND TANK OFFICIAL INSPECTION ANORT <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 />AQQ 0-A COUNTY # <br />INSPECTION DATE: <br />SITE ADDRESS: Z�36 A/A,4i CITY/STATE/ZIP <br />M1116 5z-114> <br />CHANGES SITE/OWNER/PERMIT? YES NO <br />TANK I <br />TANK - 7- TANK <br />TANK - . <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />NUMBER <br />COMPUTER,,,,, COMPUTER <br />NUMBER NUMBER <br />COMPUTE/ <br />NUMBER 14 <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />I <br />n2lfl� <br />1 /-33.3. <br />PER # <br />PER # PER # <br />PER # <br />11 12 <br />EXP. DATE <br />EXP. DATE EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />TANK CONTENTS <br />MAJOR MINOR <br />1 2 <br />IN <br />-u <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 />9 110 1 <br />MONITORING SYSTEM <br />11 12 <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />MONITORING RECORDS MAINTAINED <br />15 16 <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 />13!5E ff36 <br />CONDITIONS ABATED <br />- ----- <br />37ME <br />---- <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 39 <br />M <br />. . . . . . . . . . . . <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />41 42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />144 145 <br />--N CLOSURE E� <br />ANENT TA �KCLOSIIRE <br />7 <br />REMOVAL OF RESIDUAL MATERIALS <br />46 47 <br />PIPING <br />48 49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 52 <br />SAMPLING <br />53 54 <br />IMPROPER ABANDONMENT <br />.55 56 <br />L <br />SYSTEM STATUS (MUST MARK ONE) <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />57 58 <br />MAJOR o MINOR o NO <br />VIOL. VIOL. VOL. <br />59 <br />0 <br />OFFICE: <br />INSP.4eWe- 1,4 <br />RECEIVED BY: <br />TITLE: <br />PHONE: -BECK: <br />HUT -3 WNte - Original Yellow - Owner's Copy <br />Pink - File Coov <br />