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`.1 UNDERGROUN 'NK PROGRAM OFFICIAL INSPE "ON REPORT <br /> ► __AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # � <br /> PHONE NO. 468-3423 q <br /> SITE NAME: _.,L.� S .? 1, -4 l INSPECTION DATE:g—f_d�} l <br /> SITE ADDRESS: �'� G�/� ��T�'ii.,F CITY/STATE/ZIP �� / � - e- �;_3 76 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK2 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUT R COMPUTER COMPUTE COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYP OF INSPECTION SITE COMPUTER#/- <br /> PER # PER # PER # PER # <br /> EXP.DATE EXP.DATE EXP DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE ix 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 w <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 <br /> PIPING 1920 <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 36 <br /> CONDITIONS ABATED rAX 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 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 CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: S o I� <br /> 57 <br /> MAJOR - MINOR 58 NO 59 - - - <br /> VIOL. VIOL. ❑ VIOL. -1 <br /> OFFICE: INSP: RECEIVEBY: <br /> TITLE: S PHONE RECK: <br /> HUT-3 ORIGINAL yR 5/88 OM <br />