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raw, <br /> i <br /> UNDERGROU TANK PROGRAM OFFICIAL INSFION REPORT <br /> JAN JOAOUIN HEALTH DISTRI ! <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON. CA 95205 COUNTY # <br /> COUNTY NAME - PHONE NO. 4138-3423 <br /> SITE NAME: O G� ��N�� ! g�s INSPECTION DATE: , <br /> SITE ADDRESS: 101 I St Wllcl -cwN wI CITY/STATE/ZIP <br /> CHM.GES SITE/OWNER/PERMIT? YES NO TANK f TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER_ NUMBER <br /> TYPE:F WSPECTION - SITE.COM��P77UTE R PER ♦ PER PER 0 PER <br /> TYPE 'F INS��C� + <br /> Off. - EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK R MINTS NOR <br /> MAJOR MR ' <br /> PERMIT TO OPERATE T 2 <br /> . <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APFPO`/ED CONSTRUCTION 5 6 <br /> WP.IT'EN MONITORING PROCEDURES 7 8 __ __.._-- -------- - <br /> APPF-VED MONITORING SYSTEM 9 10 -_.-- _- - ---- - <br /> MONITORING SYSTEM. 11 12 --- <br /> APFF.7VED MONITOR FREQUENCY. 13 14 _ ------- <br /> MONI-ORING RECORDS MAINTAINED 15 16 --__ -._—__ -- - ----_---- <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVE`.-ORY RECONCILIATION 21 22 _ -_ - --_- —.-- --------- <br /> TANK GAUGING 23 24 <br /> APPP-DVED RESPONSE PLAN 25 26 - <br /> UNAL71HORIZED RELEASE OCCURRENCE 27 128 ___-_ _------- ----- - - -- - <br /> SAMPLING 29 30 - ___._.___.--.-... _..._ .. .. . <br /> APPPOVED TANK REPAIRS 31 32 <br /> UNA:;-HORIZED RELEASES REPORTED 7- 34 <br /> --.- - -SAFE--Y HAZARD <br /> CONC,71ONS ABATED 37 - ----- - <br /> TEMPORARY TANK CLOSURE <br /> REYC':AL OF RESIDUAL 38 39 --- <br /> FLA:MABLE VAPORS REMOVED 40 <br /> ACCs SS LOCATIONS SEALED 41 42 <br /> PCra<_R DISCONNECTED <br /> OWNERIOPERATOR MONITORING 44 45 — <br /> PERMANENT TANK CLOSURE <br /> REMCJAL OF RESIDUAL MATERIALS 46 47 _- <br /> PIPING 48 49 - <br /> FLA.VMABLE VAPORS REMOVED <br /> UNA:,THORIZED RELEASE 51 - 52 <br /> SAMPLING 53 54 <br /> __. <br /> IMPi`.PER ABANDONMENT 55 58 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS ANCORRECTED AS __ ._ <br /> SYSTEM STATUS(MUST MARK ONE) TOLL :_ -- /L(7/') <br /> �_. <br /> F—�! <br /> MA.;OR 57 MINOR NO 58 59 <br /> VICL ❑ VIOL ❑ VIOL <br /> OFFICE: NSP. <br /> RECEIVED BY: <br /> TITLE: �C -S PHONE: RECK: <br /> HUT-: , ` CF'viNAl- EXHIBIT ^B° 003 5 <br />