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UNDERGROUNK PROGRAM OFFICIAL INSPE N REPORT <br />I JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />STOCKTON, CA 95205 <br />COUNTY NAME ounKIC kin naA_QAO' COUNTY # 317 <br />SITE NAME: <br />DD <br />2v � � � � f <br />INSPECTION DATE: l / q <br />SITE ADDRESS: ey s-oS <br />FLAMMABLE VAPORS REMOVED <br />40 <br />CITY/STATE/ZIP , c4 <br />ACCESS LOCATIONS SEALED <br />CHANGES SITE/OWNER!/PERMIT? <br />YES <br />NO TANK s- <br />TANK <br />TANK 7 <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />45 <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />53 <br />54 <br />NUMBER (QCT <br />NUMBER U N L <br />NUMBER:5( U of <br />UMBER <br />TYPE OF INSPECTION <br />_ <br />SITE COMPUTER # <br />PER # ``,��`��Q <br />YAP <br />PER # �G Gov <br />PER # 106 �a <br />PER # <br />59 <br />VOL. ❑ <br />EXP. <br />EXP. BATE <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 SYSTEW <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 />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />/ 37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />99 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />99 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />SYSTEM STATUS (MUST MARK ONE) <br />57 58 <br />MINNO <br />VIOL.. MAJOR ❑ VIOLL..R nJ <br />59 <br />VOL. ❑ <br />OFFICE: INSP-��yq" <br />TITL` E: L----vl <br />THE MARKED ITEMS <br />FOLLOWS: <br />NT VIOLATIONS AND MUST BE CORRECTED AS <br />M o N' 1=,4 N &= (? L- A " O -j <br />ro-ltde g -36 <br />itl0 i .Gs a nl <br />f Sa <br />,A2h�IzR-�1 RA s <br />.n <br />RECEIVED BY: (1 <br />BECK: <br />IHUT -3 ORIGINAL 5/88 0� <br />