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UNDERGROUANK PROGRAM OFFICIAL INSPE ION REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON,CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: / ,/` INSPECTION DATE: z6 <br />SITE ADDRESS:�G &4 LL°�l CITY/STATE/ZIP�� C JS <br />CHANGES SITE/OWNER/PERMIT? YES NO TANK 1 TANK TANK TANK <br />FORM A AND/OR B SUBMITTED? COMPUTER / COMPUTE} OMPUTEF 3 COMPUTER <br />TYPE OF I ECTIO SITE COMPU E� # NUMBER NUMBE�j UMBE% UMBER- <br />._ ]o I PER # PER #/ " PER # " b g06 PER # <br />Jrfnlc� <br />IMPROPER ABANDONMENT 55 j56 <br />THE MARKED ITEMS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: <br />57 58 59 41 d let <br />MAJOR MINOR NO <br />VIOL. ❑ VIOL. ❑ VIOL. X � p� <br />AND MUST BE <br />OFFICE: INSP:�RECEIVED B �l <br />✓ 71 TITLE: GPHONE�� � BECK: <br />HUT -3 (f ✓ ORIGINAL 5/88 <br />SAFETY HAZARD <br />EXP. DAT EX <br />36 _ w_ <br />OPERATIONAL TANK <br />TANK CONTENTS <br />37 <br />MAJOR MINOR i <br />PERMIT TO OPERATE <br />1 2 <br />3 4 <br />1, <br />' <br />CHANGE IN CONDITIONS TO OPERATE <br />REMOVAL OF RESIDUAL <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />_._.. <br />APPROVED MONITORING SYSTEM <br />9 110 <br />41 <br />MONITORING SYSTEM <br />11 12 <br />13 14 <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />17 18 <br />ACCESS CASING SECURED <br />PIPING <br />19 20 <br />21 22 <br />INVENTORY RECONCILIATION <br />46 <br />TANK GAUGING <br />23 24 <br />25 26 <br />48 <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 28 <br />SAMPLING <br />30 <br />L33132 <br />52 <br />APPROVED TANK REPAIRS <br />SAMPLING <br />UNAUTHORIZED RELEASES REPORTED3 <br />34 <br />IMPROPER ABANDONMENT 55 j56 <br />THE MARKED ITEMS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: <br />57 58 59 41 d let <br />MAJOR MINOR NO <br />VIOL. ❑ VIOL. ❑ VIOL. X � p� <br />AND MUST BE <br />OFFICE: INSP:�RECEIVED B �l <br />✓ 71 TITLE: GPHONE�� � BECK: <br />HUT -3 (f ✓ ORIGINAL 5/88 <br />SAFETY HAZARD <br />35 <br />36 _ w_ <br />CONDITIONS ABATED <br />37 <br />' <br />TEMPORARY TANK CLOSURE <br />1, <br />' <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />_._.. <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 55 j56 <br />THE MARKED ITEMS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: <br />57 58 59 41 d let <br />MAJOR MINOR NO <br />VIOL. ❑ VIOL. ❑ VIOL. X � p� <br />AND MUST BE <br />OFFICE: INSP:�RECEIVED B �l <br />✓ 71 TITLE: GPHONE�� � BECK: <br />HUT -3 (f ✓ ORIGINAL 5/88 <br />