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- SAN JOAQUIN HEALTH DISTRICT <br /> 1801 E HAZELTON AVE <br /> STOCKTON <br /> PHONE NO 48A885a 2 .?'13 9 COUNTY # ;� <br /> yINSPECTION DATE <br /> LISITE NAME 1iI0�„ ,G 4•'! -e xh � �/ �/ <br /> TE ADDRES^a � 111 S f ,�l1il't•� CITY/STATE/ZiPS. C� <br /> CHANGES SITE/ YES NO TANK 0�� TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED) COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF NSPECTiON SITE COMPUTER • NUMBER NUMBER NUMBER NUMBER <br /> r PER V PER* PER 0 PER 0 <br /> EXP DATE Exp HATE EXP DATE EXP DATE <br /> OPERATIONAL TANK T►uvK ca+rrEM1vSti <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDRIONS TO OPERATE 3 a <br /> APPROVED CONSTRUCTION 5 6 _��' <br /> WRITTEN MONITORING PROCEDURES 7 B <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 112 Ak.- <br /> APPROVED MONITOR FREQUENCY 13 114 - <br /> MONITORING RECORDS MAINTAINED 15 1a <br /> ACCESS CASING SECURED - 17 19 bei <br /> PIP1N0 14 24 � <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 215 26 <br /> UNAUTHORIZED RELEME OCCURRENCE: 27 125 / <br /> SAMPUNa 29 130 <br /> APPROVED TANK REPAIRS 31 1W <br /> WNAUTHORIZED RELEASES REPORTED 33 134 <br /> ,FM HAZARD 38 36 r <br /> ONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 132 <br /> FLAMMABLE VAPORS REMOVED 40 —�--- <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPSRATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 48 <br /> PIPING 48 48 <br /> FLAMMABLE VAPORS REMOVED 60 <br /> ' UNAUTHORIZED RELEASE 51. 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 58 <br /> TNF.MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SWIA STATUS jWiV MARK OH81 FOLLOWS <br /> 67 OR66 do fNO <br /> VIOL MO <br /> ❑ VIOL-L^1 <br /> f10E INS ,"left"&-no lO" <br /> 0 Irq ryi,4sf <br /> MTtF. �. S PHOE►E. . <br /> HUT--3 OWNER'S COPY Et85—gyg_0I.}%wu 00 ST 16, 6T G3.1 �sEi e <br /> - <br />