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COUNTY NAME—Srx41---\,A* <br />SITE NAME: <br />IPI'',.OWN <br />USIGROUND TANK OFFICIAL INSPECTION R <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joaquin Street <br />Mailing Address: P.O. Box 388 <br />A. Stockton, CA 95201-0388 <br />CITY/STATE/ZIP <br />COUNTY # <br />110 01112�41=1419-1 <br />, CHANGES SITE/OWNER/PERMIT? YES- NO <br />TANK <br />TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />COMPUTE <br />COMPUTER COMPUTER <br />COMPUTER <br />NUMBE-1 <br />, Oro <br />PER # Z -J <br />EXP. DATE <br />NUMBER/ 1Z, No <br />PER # <br />EXP. DATE <br />NUMBER <br />PER # <br />EXP. DATE <br />NUMBER <br />PER # <br />EXP. DATE <br />TYPE 0 F�NSPECTION <br />COMPUTER # <br />t4 ---/ <br />OPERATIONAL TANK <br />TA& CONTENTS <br />M�4OR MINOR <br />44 45 —1 <br />W mm <br />popm -ma" <br />R <br />1 2_ <br />PERMIT TO OPERATE <br />52 <br />CHANGE IN CONDITIONS TO OPERATE <br />153 <br />54 <br />3 4 <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />155 <br />156 <br />5 <br />7 78 <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />9 po <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />SYSTEM STATUS (MUS ARK ONE) <br />11 12 <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />13 '114 <br />59 <br />---------- - <br />t <br />15 16 <br />ACCESS CASING SECURED <br />PIPING <br />17 Aff <br />19,7 20 <br />INVENTORY RECONCILIATION <br />21 22 <br />OFFICE- <br />6 <br />INSP: <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />23 2 <br />25 26 <br />TITLE: <br />PHONE: K: <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 28 <br />Copy 5/88 Om <br />SAMPLING <br />29 30 <br />.......... <br />APPROVED TANK REPAIRS <br />31 32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 34 <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />35 36 <br />IN 4 8 1:191;T-11 laylk (-,I N 101,111lao <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />E <br />Ag, <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />38 39 <br />40 <br />41 42 <br />FLAMMABLE VAPORS REMOVED <br />M43 <br />44 45 —1 <br />PERMANENT TANK CLOSURE <br />p,P <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />m <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />153 <br />54 <br />IMPROPER ABANDONMENT <br />155 <br />156 <br />11 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />SYSTEM STATUS (MUS ARK ONE) <br />7<f <br />57 58 <br />ZV11101L. <br />59 <br />t <br />MAJOR MINOR <br />VIOL. El <br />NO <br />VIOL. 1:1 <br />OFFICE- <br />6 <br />INSP: <br />RECEIVED BYE <br />TITLE: <br />PHONE: K: <br />HUT -3 White - Original Yellow - Owner's Copy Pink - File <br />Copy 5/88 Om <br />