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r' <br /> UNDERGROUN' ANK PROGRAM OFFICIAL INSPE ON REPORT <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # -3c( <br /> PHONE NO. 468-3423 <br /> SITE NAME: SG J T- �� CeG j� INSPECTION DATE: z-1Z_q <br /> SITE ADDRESS: CITY/STATE/ZIP -r,5-3 7 <br /> CHANGES SITE/OWNER/PE IT? YES NO TANK TANK TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUT COMPUTER <br /> TYP OF INSPECTION SITE COMPUTER # NUMBEF���0 NUMBER(/��(J� NUMBE (�O0 - NUMBER <br /> r/�� PER # a V ' PER# 0 PER # I PER # <br /> Ul,�h4e /'47 5 EXP.DATE EXP.DATE U. EXP.DATE 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 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 116 <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 `V <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 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 a <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: iteeLs e S to u Az-- d <br /> b oef <br /> — <br /> 59 <br /> MAJOR 57 MINOR 58 NO - +0 <br /> VIOL. ❑ VIOL. ❑ VIOL. ,( G S� r w l h'-h O-j s <br /> zs--o - <br /> OFFICE: INSP: RECEI B < <br /> X � <br /> TITLE: P90NE.. RE <br /> NUT-3 5/88 OM <br />