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UNDERGROUANK PROGRAM OFFICIAL INSPF ON REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME <br />OPERATIONAL TANK <br />STOCKTON, CA 95205 <br />COUNTY # <br />48 49 <br />MAJOR MINOR <br />PHONE NO. 468-3423 <br />50 ml <br />PERMIT TO OPERATE <br />1 <br />2 <br />SITE NAME: <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />INSPECTION DATE: <br />SITE ADDRESS:l <br />6 SOO <br />Z? zd vi S{ <br />CITY/STATE/ZIP <br />NO 59 <br />VIOL. <br />WRITTEN MONITORING PROCEDURES <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO <br />TANK ( <br />TANK L <br />TANK 3 <br />TANK L/ <br />10 <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />NUMBER <br />NUMBER <br />NUMBER <br />NUMBER <br />TYPE OF INSPECTION <br />p [1Ot,J ��/ <br />SITE COMPUTER # <br />1 _5 -_5 -G -I <br />ACCESS CASING SECURED <br />PER # <br />EXP. DATE <br />PER # <br />EXP. DATE <br />PER # <br />EXP. DATE <br />PER # <br />EXP. DATE <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />OPERATIONAL TANK <br />TANK CONTENTS <br />PIPING <br />48 49 <br />MAJOR MINOR <br />50 ml <br />PERMIT TO OPERATE <br />1 <br />2 <br />SAMPLING <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />NO 59 <br />VIOL. <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />M <br />MONITORING SYSTEM <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 />135 <br />136 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />�- <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 47 <br />PIPING <br />48 49 <br />FLAMMABLE VAPORS REMOVED <br />50 ml <br />UNAUTHORIZED RELEASE <br />51 52 <br />SAMPLING <br />53 54 <br />IMPROPER ABANDONMENT <br />155 156 <br />SYSTEM STATUS (MUST MARK ONE) <br />MAJOR 57 MINOR 58 <br />VIOL. VIOL. ❑ <br />NO 59 <br />VIOL. <br />OFFICE: <br />I HUT -3 <br />i <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE C( <br />FOLLOWS: <br />4� of <br />INSP�/��Gy�' , <br />TITLE�� <br />ORIGINAL <br />AS <br />I <br />5/88 © M <br />