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UNDERGROUN NNK PROGRAM OFFICIAL INSPEJWN REPORT <br />JOAQUIN HEALTH DISTRICT <br />1601 E HAZELTON AVE <br />COUNTY NAME <br />�% <br />STOCKTON, CA 95205 <br />COUNTY # �� <br />OPERATIONAL TANK <br />PIPING <br />PHONE NO. 468-3423 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />MAJOR MINOR <br />SITE NAME: IA 1'kI <br />UNAUTHORIZED RELEASE <br />5A , 1 " �Z— <br />2 <br />INSPECTION DATE: <br />53 <br />SITE ADDRESS: <br />4 <br />' /1 , <br />CITY/STATE/ZIP L��e-per <br />5 <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />NO TANK ) <br />TANK 2 <br />TANK TANK <br />APPROVED MONITORING SYSTEM <br />FORM A AND/OR B SUBMITTED? <br />9 <br />COMPUTER o <br />NUMBET7,00 <br />COMPUTER ® <br />NUMBER <br />COMPUTER COMPUTER <br />NUMBER G% ! NUMBER <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />TYPE OF INSPECTION <br />. J <br />SITE COMPUTER <br /># <br />Q - <br />PER # U v <br />PER # V N ,� 5 <br />PER # S<j,�L PER # <br />PERMANENT TANK CLOSURE <br />�% <br />REMOVAL OF RESIDUAL MATERIALS <br />EXP. DATE EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />PIPING <br />TANK CONTENTs <br />49 <br />FLAMMABLE VAPORS REMOVED <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />UNAUTHORIZED RELEASE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />53 <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />56 <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />57 58 <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />NO <br />❑ <br />9 <br />10 <br />11 <br />12 <br />MONITORING SYSTEM <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 />16 <br />20 <br />INVENTORY RECONCILIATION <br />21NZ <br />22 <br />23 <br />24 <br />TANK GAUGING <br />25 <br />26 <br />APPROVED RESPONSE PLAN <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 />PER <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />7-7 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 ' <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <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 />SYSTEM STATUS (MUST MARK ONE) <br />57 58 <br />59 <br />MAJOR <br />® ❑ <br />NO <br />❑ <br />VIOL. VIOLOR <br />VIOL. <br />OFFICE <br />HUT -3 <br />INSP: <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />Fni i nIAic• ll� D® /'oo A -IA/ Z O r" ''Z— <br />TITLE: <br />ORIGINAL <br />RECEIVED BY: <br />><,- �� -w� <br />PHO;V� _Q gSS-- RE <br />5/88 O M <br />