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COUNTY <br />,SITE NAME: <br />SITE ADDRESS: r' <br />UORGROUND TANK OFFICIAL INSPECTION <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH <br />�, E. Weber Ave., Third Floor <br />DIVISION <br />Mailing <br />Address:Stockton, CA 95201-0388 flill"TV �ff <br />INSPECTION DATE: <br />* • '' �: r r �'COMPUTER <br />.� • • • • -PER 7;oq <br />OPERATIONAL TANK <br />TARX CONTEAX5 <br />REMOVALOF • <br />PERMIT • OPERATE <br />FLAMMABLE P • • • <br />IN CONDITIONS TO OPERATE <br />•• r <br />APPROVEDCHANGE <br />• • <br />SAMPLING <br />WRITTEN MONITORING PROCEDURES <br />� <br />17 <br />APPROVED• <br />MONITORING SYSTEM <br />MONITOR FREQUENCY <br />MONITORINGAPPROVED <br />••Dr <br />SECUREDACCESS CASING <br />PIPING <br />RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE <br />UNAUTHORIZED RELEASE OCCURRENCE <br />APPROVED TANK REPAIRS <br />UNAUTHORIZEDSAMPLING <br />•t• Il <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />r <br />REMOVALOF DIF <br />•.REMOVED <br />LOCATIONSACCESS ' <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />vv <br />TANK TANK TANK <br />COMPUTER COMPUTER COMPUTER <br />NUMBER NUMBER NUMBER <br />PER # PER # PER # <br />EXP. DATE EXP. DATE EXP. DATE <br />mak, t d_ <br />PERMANENT TANK CLOSURE <br />-al <br />REMOVALOF • <br />PIPING <br />FLAMMABLE P • • • <br />rm, <br />•• r <br />SAMPLING <br />IMPROPER•• <br />� <br />17 <br />PERMANENT TANK CLOSURE <br />REMOVALOF • <br />PIPING <br />FLAMMABLE P • • • <br />rm, <br />•• r <br />SAMPLING <br />IMPROPER•• <br />� <br />17 <br />(STEM STATUS (MUS( MARK ONE) <br />MAJOR 67 MINOR 58 NO 69 <br />VIOL. VIOL. VIOL. <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />OFFICE: INSP: R CEIVED BY: <br />TITLE: PHONE: BECK: <br />HUT -3 White - Original Yellow -Owner's Copy Pink - File Copv <br />PHS 178 (4/96) <br />