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OFFICE: INSP: <br />TITLE: <br />HUT -3 ORIGINAL <br />RECEIVED BY: <br />PHON RECK: <br />��� 033 <br />5/88 (D m <br />r <br />UNDERGROVP <br />TANK <br />PROGRAM OFFICIAL INS CTION REPORT <br />r#v <br />.n <br />[ <br />SAN JOAQUIN HEALTH DISTRIC <br />1601 E. HAZELTON AVE. <br />; <br />COUNTY SAME <br />STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: � � <br />INSPECTION DATE: Z Z. <br />i <br />SITE ADDRESS: ��?� fG-e <br />. CITY/STATE/ZIP L�bfY��CiQ-, <br />7--5;Z- <br />CHANGES SITE/OWNER/PERMIT? <br />CHANGES <br />YES <br />NO <br />TANK 07-- TANK d TANK v <br />TANK O <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER COMPUTER COMPUTER <br />NUMBEWZhgo 5 NUMBER$l)gDRV NUMBEW,00pSR <br />COMPUTER <br />NUMBER 8;Zkg6 <br />TYPE OF INSPECTION SITE COMPUTER # <br />PER # PER # PER # <br />PER # <br />L>�A&- / 7 <br />EXP. DATE EXP. DATE EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6� <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />— <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 />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION22 <br />k <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 />29 <br />30 <br />APPROVED TANK REPAIRS <br />17V <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />IBM <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <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 />50w <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />F5-5-7-56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED <br />AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />57 58 <br />59 <br />MAJlvfil <br />❑ <br />❑ <br />VIOLOR VIOLO.R <br />VOL. <br />OFFICE: INSP: <br />TITLE: <br />HUT -3 ORIGINAL <br />RECEIVED BY: <br />PHON RECK: <br />��� 033 <br />5/88 (D m <br />