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UNDERGROU TANK PROGRAM OFFICIAL INSP ON REPORT <br />' WSTI <br />AN JOAQUIN HEALTH DISTRIC <br />r <br />COUNTY NAME <br />1601 E. HAZELTON AVE. <br />STOCKTON, CA 95205 <br />COUNTY #,3 <br />OPERATIONAL TANK <br />TANK CONTENTS <br />- PHONE NO. 468-3423 <br />39 <br />MAJOR MINOR <br />FLAMMABLE VAPORS REMOVED <br />SITE NAME: + D ® <br />1 2 <br />4 <br />INSPECTION DATE:6-''-� -- ��s <br />SITE ADDRESS:/411/ <br />Ql > <br />CITY/STATE/ZIP ,r%; CA <br />Roo <br />CHANGES SITE YES <br />OOTANK <br />,/ <br />TANK .Z <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />MONITORING SYSTEM <br />COMPUTER <br />COMPUTER <br />COMPO <br />COMPUTER <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />NUMBER <br />NUMBER <br />NUMBER <br />NUMBER <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />19 20 <br />PER # <br />PER # <br />PER # <br />PER # <br />�CA,r7 A -A-- <br />EXP. DATE EXP. DATE EXP. DATE EXP. DATI <br />OPERATIONAL TANK <br />TANK CONTENTS <br />38 <br />39 <br />MAJOR MINOR <br />FLAMMABLE VAPORS REMOVED <br />PERMIT TO OPERATE <br />1 2 <br />4 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />5 6 <br />42 <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />APPROVED MONITORING SYSTEM <br />9 10 <br />OWNER/OPERATOR MONITORING <br />MONITORING SYSTEM <br />11 12 <br />13 14 <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />REMOVAL OF RESIDUAL MATERIALS <br />17 18 <br />46 <br />ACCESS CASING SECURED <br />PIPING <br />19 20 <br />21 22 <br />49 <br />INVENTORY RECONCILIATION <br />23 24 <br />TANK GAUGING <br />25 26 <br />APPROVED RESPONSE PLAN <br />27 28 <br />51 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />29 30 <br />SAMPLING <br />SAMPLING <br />31 32 <br />54 <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />33 34 <br />55 <br />SAFETY HAZARD <br />35 36 <br />CONDITIONS ABATED <br />37 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />- <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 />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />156 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />57 58 <br />59 <br />MAJOVIOL.. R ❑ <br />R LJ <br />INO <br />❑ <br />VIOL. <br />VOL. <br />OFFICE: <br />INSP: <br />f <br />RECEIVED BY: <br />TITLE: <br />RECK: <br />HUT -3 <br />ORIGINAL <br />5/88 0 M <br />