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U, .-AROUND TANK OFFICIAL INSPECTION RE% <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: FRANK GUINTA' s ONE STOP MART #6 INSPECTION DATE: <br /> SITE ADDRESS: 574 W. Grant Line Road CITY/STATE/ZIP Tracy <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK 1 TANK 2 TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBET1 4 0 5 01 NUMBER 14 0 5 0 2 NUMBER 140503 NUMBER <br /> ROUTINE 1405 PER # PER# PER # iT PER # <br /> EXP.DATE UL' EXP.DATL'+ EXP.DATEL P EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR I MINOR q ) :. 8 , 000 <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 11 112 •/ !� <br /> APPROVED MONITOR FREQUENCY 13 id <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> 'NVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAI13S 31 32 <br /> UNAUTHORIZED'RELEASES REPORTED 33 34 <br /> SAFETY I IAZARD 35 36 <br /> CONDITIONS ABATED F31 <br /> • <br /> TEMPORARY TANK CLOSURE > r -lig "'lk <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 <br /> PERMANENT TANK CLOSURE ;i}lT; i1 ;` <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(MUSI MARK ONE) FOLLOWS: N�c v -14 �l 1�1U01 C _ <br /> lab n .SAsr.r \\ `` --------._..------------- <br /> 57 58 59 <br /> MIN <br /> VIOL MAJOR ❑ VIOL.R ❑ VOL.❑ <br /> OFFICE: INSP' RECEI <br /> TI LE' PI TONE: BECK: <br /> 1-IUT-3 White-Original Yellow-Owner's Copy Pink-File Copv <br /> PHS 178 (4/96) <br />