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UNDERGROUN NK PROGRAM OFFICIAL INSPE N REPORT <br />►N JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. q <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: 1 1 <br />1W <br />_f,4 Lle, <br />INSPECTION DATE,,,. -Z- <br />SITE ADDRESS: <br />S"�� D�� J <br />CITY/STATE/ZIP <br />q45 <br />CHANGES SITE/OWNER/P RMIT? <br />YES <br />NO TANK f <br />TANK 7— <br />TANK TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />NUMBE <br />COMPUw �� <br />NUMBE 0 <br />COMPUT COMPUTEt <br />NUMBER boNUMBS <br />TYPE OF INSPECTION SITE COMPUTER <br /># <br />2000 <br />PER # ���. PER# �V <br />PER # S !% 4 --"PER # U� <br />P� 10472 <br />EXP. DATE <br />EXP. DATE �� <br />EXP. DATE EXP. DATE <br />OPERATI NAL TANK <br />TANK coNTeNrs <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />M� ~ <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />S` <br />MAJOR R ❑ <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />VIOL. VIOL. <br />VOL. <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 />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />:21X <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 />n <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />/ <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />47 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />q45 <br />ACCESS LOCATIONS SEALED <br />41 <br />POWER DISCONNECTED <br />µ� <br />OWNER/OPERATOR MONITORING <br />44 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <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 />SYSTEM STATUS (MUST MARK ONE) <br />LLOWS: t` <br />57 58 <br />59 <br />S` <br />MAJOR R ❑ <br />LJF <br />VIOL. VIOL. <br />VOL. <br />07�e� _Zwl.7a - <br />IOFFICE: IINSP: 6l/IZ-16-�.(RECEIVED BY: <br />F l45[FH61NI�_a336 TITLE: � � � BECK: <br />HUT -3 ORIGINAL 5/88 <br />