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P_ <br />U&GROUND TANK OFFICIAL INSPECTION AT <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor <br />Mailing Address: P.O. Box 388 <br />COUNTY NAME <br />Stockton, CA 95201-0388 <br />COUNTI # <br />468-3420 <br />I <br />WWII= <br />��=JANK <br />IK <br />TANK <br />I Mm I iTA Imm, il 10% z a 11111m <br />0 <br />COMPUTER <br />COM PUV <br />COMPUTER <br />4 <br />' i a, <br />NUMBER <br />NUMBER <br />NUMBER <br />11111MIEW61:11110WNCOMPUTER <br />PER <br />;PER # <br />PER # <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />PERMIT 10 OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />!NVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED - <br />PLAN <br />CIO, <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY TIAZAFID <br />CONDITIONS ABATED <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />a5affiTiffWA <br />NMI. <br />mm <br />Emm <br />in <br />clTi mm <br />MEN <br />57 58 59 <br />MA <br />Ivi"u- U VOL.VIOL. JOR 0 VIOL. <br />77 7 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />OFFICE: INSP: <br />TITLE: <br />HUT -3 While - original Yellow - owner's Copy Pink - File Copv <br />LIR <br />PHS 178 (4/96) <br />