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ARGROUND TANK OFFICIAL INSPECTION TORT <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joaquin Street <br />Mailing Address: P.O. Box 388 <br />COUNTY NAME Stockton, CA 95201-0388 <br />AMC COUNTY # <br />7A I <br />SITE NAME: I ' <br />VIS <br />INSPECTION DATE: <br />SITE ADDRESS: �. (� <br />CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? <br />FORM A AND/OR B SUBMITTED?COMPUTER <br />YES <br />NO TANK <br />TANK <br />COMPUTER <br />TANK TANK G� <br />COMPUTER COMPUTER / <br />TYPE OF INSPECTION SITE COMPUTER # <br />NUMBER <br />NUMBER <br />c.(L ��t <br />NUMBER J NUMBER <br />I—/ L*IS <br />PER # <br />PER # <br />PER # PER # <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />. <br />PERMIT TO OPERATE <br />ff56 <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />---_------- <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 />j 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 />TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />[29L3OAPPROVED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE,, <br />REMOVAL OF RESIDUAL <br />38 <br />139 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />rMEA <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 />147 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />M77 <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 />FOLLOWS: <br />� <br />41 r o_LU - <br />�iGT1` v�Q,K� <br />57 58 <br />MAJVIOOR❑ MINORVIOL. LJ <br />59 <br />r__1 <br />-- - - --- <br />VIOL. <br />.g " <br />/7 <br />OFFICE: <br />INS <br />"L_ <br />RECEIVED BY: <br />t0'4 <br />TI <br />PHONE: <br />BECK: <br />Hu I —3 "mite - ungmal Yellow - owner's Copy Pink - File Coov <br />