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UNDERGROUNC NK PROGRAM OFFICIAL INSPEC"'N REPORT <br /> J JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: 97� 1' 'v 7 GLf�/� INSPECTION DATE: <br /> SITE ADDRESS: 7 11V -.,GP,9-�,7 L� CITY/STATE/ZIP 7 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUT COMPUTER COMPUTE OMPUTER <br /> NUMBER O�� NUMBERP� � NUMBER 6'O®o tUMBER <br /> TYPE OF INSP%TION SITE COMPUTER# <br /> PER# PER#C/1e ER# 5 ' PER# <br /> EXP.DATE % EXP.DATE CAI ,$ EXP.DATE G'' 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 9 110 <br /> _� <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 25 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 35 136 <br /> CONDITIONS ABATED F, 737 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 ME <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 CORREPTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: Q -v, dw <br /> MAJOR 57 MINOR 58 NO (59� <br /> VIOL. ❑ VIOL. ElVIOLXq <br /> OFFICE: INSP-. RECEIV BY� <br /> TITLE: NE: ECK: <br /> HUT-3 ORIGINAL 5/88 n <br />