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UNDERGROL"-''- TANK PROGRAM OFFICIAL INSP'""TION REPORT <br /> ..� SAN JOAQUIN HEALTH DISTRICT, <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME&tyU STOCKTON, CA 95205 COUNTY #39 <br /> (? Qwq PHONE NO. 468-3423 <br /> SITE NAME: le� WT 11 4 c INSPECTION DATE: f d- <br /> SITE ADDRESS: � / 3 3 14D l qR &0149— CITY/STATE/ZIP 3fDc'-DG K o f q�3,D <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK p TANK ,2- TANK _3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER # NUMBER NUMBER NUMBER NUMBERPER # PER# PER # PER # <br /> EXP.DATE EXP.DATE EXP.DZ EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS 4pft<f ao&ocDo e <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 (1 /LG <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 1 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 128 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED M 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS r50m <br /> 47 <br /> PIPING 49 <br /> FLAMMABLE VAPORS REMOVED UNAUTHORIZED RELEASE 52 <br /> SAMPLING 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED <br /> 'ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> V <br /> SYSTEM STATUS{MUST MARK ONE} FOLLOWS: <br /> c <br /> MAJOR 57 MINOR 58 NO (59 + <br /> VIOL. ❑ VIOL. ❑ VIOL.LJ <br /> -- - <br /> 11 &1 11 Sli <br /> OFFICE: INSP: I;Q RECEIVED B mmT <br /> v <br /> TITLE: ;qC PHON . <br /> HUT-3 ORIGINAL? 5 98 <br />