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a <br /> 1.1101GROUND TANK OFFICIAL INSPECTION RORT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> Mailing Address: P.Q.Box 388 <br /> COUNTYStockton,CA 95201-0388 COUNTY 458-3420 <br /> SITE NAME: 500 <br /> INSPECTION DATE: <br /> SITE ADDRESS: CITY/STATE/ZIP <br /> CHANGES SITE YES NO TANKLf <br /> TANK TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPO E COMPUTER COMPUTER COMPUTER <br /> T E OF IN PECTION SITE COMPUTER#�, NUMBE7N., NUMBER NUMBER NUMBER <br /> PER# Ge/ PER# PER# PER# <br /> EXP.DATh9 Ot9aO XP.DATE EXP.DATE EXP.DATE <br /> ATIO AL TANK TANK conrrENTs <br /> OR MINOR ,+ <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 135 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE mag- <br /> REMOVAL � <br /> OF RESIDUAL 3839 <br /> FLAMMABLE VAPORS REMOVED 40 _. <br /> ACCESS LOCATIONS SEALED �41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSUREt � x' <br /> v_ <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 ---- <br /> VIOL. VIOL. ❑ VIOL <br /> OFFICE: INP <br /> 7ED Y: <br /> TITLE: PHONE: BECK: <br /> HUT-3 White-Original Yellow-Owner's Copy Pink-File Copv <br />