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UNDERGROUNIJWNK PROGRAM OFFICIAL INSPE90N REPORT 2 0 <br /> N JOAQUIN HEALTH DISTRICT (� ✓ <br /> 1601 E. HAZELTON AVE. <br /> COUNT NAME STOCKTON, CA 95205 COUNTY # 3f <br /> PHONE NO. 468-3423 <br /> SITE NAME: IAV S eXL/ INSPECTION DATE: <br /> J / <br /> SITE ADDRESS: I L� / < 5, `� �� 5 C CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER fDOMPUTER COMPUTER <br /> TYPE OF NSPECT ON SITE C PUTER# NUMBER /r NUMBER �Q®O NUMBER NUMBER <br /> ��� + !� ���� PER# (/1+10 PER# {,` PER# PER# <br /> /v EXP.DATE EXP.DATE 0 EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 2 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 . <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 v <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 _ _. ............. .�.�.,_. <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 � <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 59 <br /> MAJOR JNI-� <br /> VIOL. Li <br /> VIOL..R Li VOL.❑ <br /> OFFICE: INSP: RECEIVED Y: <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 0M <br />