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e <br />U GROUND TANK OFFICIAL INSPECTIONT <br />SAN JOAQUIN PUBLIC HEALTH SERVICES 40 <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joaquin Street <br />Mailing Address: P.O. Box 388 <br />_ e _ Stockton, CA 95201-0388 COU TV <br />A , , • <br />s <br />I <br />11101 <br />MAJOR MINOR <br />. o . <br />• <br />Of INSPECTION <br />SITE COMPUTER # <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />OPERAMONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <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 />117 <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 />35 <br />36 <br />CONDITIONS ABATED <br />/ <br />37 <br />TEMPORARY TANK CLOSURE" <br />INSPECTION DATE: 3 <br />CITY/STATE/ZIP <br />z <br />TANK <br />TANK <br />TANK <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER <br />NUMBER <br />NUMBER <br />PER # <br />PER # <br />FLAMMABLE VAPORS REMOVED <br />PER # <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />TEMPORARY TANK CLOSURE" <br />z <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />M <br />-z-- <br />3OWNER/OPERATOR <br />OWNER/OPERATORMONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSUREU <br />7 <br />`M <br />2_. <br />aft <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />147 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEMSTATUS (MUST MARK ONE) <br />FOLLOWS: <br />57 58 <br />59 <br />MINVIOOR ❑ <br />❑_— <br />VIOL.MAJOR <br />VOL. <br />OFFICE: INSP: RECE IE <br />af <br />TITLE: g—. PHONE: BECK: <br />HUT®3 Whits - Original Yellow -Owner's Copy Pink - File Copv h w <br />