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UNDERGROUD'1 TANK PROGRAM OFFICIAL INSPF7"TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT , <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: �S�r I INSPECTION DATE: /.29-2a <br /> /` <br /> SITE ADDRESS: CITY/STATE/ZIP 1151614� <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# <br /> O <br /> PER# PER# PER# PER# <br /> T6!/L{ rEn70riR/ /O// EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> E1314 <br /> PERMIT TO OPERATE <br /> CHANGE IN CONDITIONS TO OPERATE <br /> APPROVED CONSTRUCTION /, <br /> WRITTEN MONITORING PROCEDURES <br /> APPROVED MONITORING SYSTEM <br /> MONITORING SYSTEM <br /> APPROVED MONITOR FREQUENCY _ <br /> MONITORING RECORDS MAINTAINED 15 116 <br /> ACCESS CASING SECURED 17 118 <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 /> SAMPUNG 29 30 <br /> APPROVED TANK REPAIRS 31 32 _ <br /> UNAUTHORIZED RELEASES REPORTED 133 134 <br /> SAFETY HAZARD JW 136 1 — <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE ::a <br /> REMOVAL OF RESIDUAL W43 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <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: a fed M45 <br /> MAJOR 57 MINOR 58 NO 59 6 s <br /> VIOL ❑ VIOL ❑ VIOL <br /> OFFICE: INSP: K7l RECEIVED BY: <br /> TITLE: E/f.5 PHONE: RECK: <br /> HUT-3 ORIGINAL 5/w ©, <br />