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A' ROUND TANK OFFICIAL INSPECTION RI&T <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor <br />Mailing Address: P.O. Box 388 <br />COUNTY NAME Stockton, CA 95201-0388 COUNTY <br />468.3420 <br />SITE NAME: <br />SITE ADDRESS- <br />=11W <br />NINE 0 <br />OP�ERAAONAL TANK <br />46 47 <br />Em <br />48 49 <br />e <br />PERMIT • OPERATE <br />5O <br />�• <br />CHANGE IN CONDITIONS TO OPERATE <br />lm <br />R <br />APPROVED CONSTRUCTION <br />55 56 <br />3YSTEM STATUS (MUSF MARK ONE) <br />WRITTEN MONITORING •• r <br />5i3 <br />53 <br />APPROVED MONITORING SYSTEM <br />VIOL. VI <br />MONITORING <br />D. <br />•D. <br />APPROVED MONITOR FREQUENCY <br />0=1 a in, x'i <br />MONITORING RE• r r, <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY • • <br />TANK GAUGING <br />ME <br />` RESPONSE PLAN <br />APPROVED <br />UNAUTD RELEASE OCCURRENCE <br />0 <br />SAMPLING <br />i <br />APPROVED TANK REPAIRS� <br />UNAUTHORIZED REPORTED <br />M� <br />SAFETY HAZARD <br />M'.��� <br />CONDITIONS <br />INET'///. <br />� • i • i • i i � • <br />NEMOVAL OF r <br />ACCESS FLAMMABLEVAPORSi <br />LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />46 47 <br />Em <br />48 49 <br />e <br />FLAMMABLE VAPORS REMOVED <br />5O <br />�• <br />//� <br />lm <br />R <br />Im <br />REMOVAL OF RESIDUAL MAIERiALS <br />46 47 <br />PIPING, <br />48 49 <br />e <br />FLAMMABLE VAPORS REMOVED <br />5O <br />UNAUTHORIZED RELEASE <br />51 52 <br />SAMPLING <br />53 54 <br />IMPROPER ABANDONMENT <br />55 56 <br />3YSTEM STATUS (MUSF MARK ONE) <br />5i3 <br />53 <br />MAJOR NORL. <br />VIOL. VI <br />VIOL. <br />OFFICE: 11 <br />THE MARKED ITEMS REPRESENT VIOLATI NS AND MUST BE CORRECTED AS <br />FOLLOWS: ------- <br />iTITLE`. 111 PHONE: <br />1 -I1 -IT -3 While - Original Yellow - Owner's Copy Pink • File Copy <br />1 <br />PHS 178 (4/96) <br />TANK <br />TANKi <br />TANK <br />COMPUTER <br />COMPUTER •COMPUTER <br />NUMBER <br />INUMBER <br />'NUMBER <br />D. <br />•D. <br />EXP. DATE <br />0=1 a in, x'i <br />THE MARKED ITEMS REPRESENT VIOLATI NS AND MUST BE CORRECTED AS <br />FOLLOWS: ------- <br />iTITLE`. 111 PHONE: <br />1 -I1 -IT -3 While - Original Yellow - Owner's Copy Pink • File Copy <br />1 <br />PHS 178 (4/96) <br />