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U GROUND TANK OFFICIAL INSPECTION R T <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 NAM E Stockton, CA 95201.0388 <br />468-3420 <br />[SITE NAME: <br />ADDRESS:SITE <br />TI <br />IPEAAnONALW► <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />a <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />=11111111111,r <br />INSPECTION D. R <br />CITY/STATE/ZIP <br />L <br />O <br />TANK <br />COMPUTER <br />NUMBER <br />TANK <br />COMPUTER <br />NUMBER <br />TANK <br />COMPUTEA3 <br />NUMBER <br />TANK <br />COMPU <br />NUMBE <br />_ <br />PER # <br />PER # <br />PER # <br />PER # <br />EXP. DATE _ <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />i�WWli�l <br />r7l Mol 1=7a <br />WAM <br />mm <br />21 22 <br />23 24 <br />25 26 <br />27 28 <br />29 30 <br />31 32 <br />33 134 <br />35 136 <br />�19 <br />=m <br />�rm <br />fSTEM STATUS (MUST MARK ONE) <br />57 58 59 <br />MAJOR � <br />VIOL. ❑ VIOLL..R ® VIOL. <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />OFFICE: INSP: RECEIVED BY: <br />e�v_ _� � � j () <br />TITLE: PHONE: BECK: <br />HUT®3 White -Original Yellow -Owner's CooK Pink - File Coou -- M <br />