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1411 <br /> UNO,ROUND TANK OFFICIAL INSPECTION REPT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> ilingCOUNTY NAME MaStocckton,rCA95201-0388388 201038888 <br /> 468-3420 COUNTY # <br /> SITE NAME: / , INSPECTION DATE: <br /> I INS <br /> SITE ADDRESS4TANK <br /> – CITY/STATE/ZIPCHANGES SPERMIT? YES NO TANK TANK ANK TANK <br /> FORMA ANITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPSITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER # PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIOUNK CONnzNTs / <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 7- <br /> -WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 70 <br /> MONITORING SYSTEM 71 72 ... -- <br /> APPROVED MONITOR FREQUENCY 13 14 --.__..______.._.._.__... ._.._...._.__.___.... <br /> MONITORING RECORDS MAINTAINED 15 76 <br /> ACCESS CASING SECURED 77 78 - - <br /> PING 19 -2F <br /> — <br /> INVENTORY RECONCILIATION 21 22 --TANKGAUGING23 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 ------- <br /> 3 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL e45 <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 f4 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLA IONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:MAJOR <br /> 57 58 59 <br /> No <br /> VIOL. ❑ VIOLL..R ❑ VOL.❑ �T -- <br /> OFFICE: IN P: ECEIVED <br /> TITLE: �} S PHONE: RECK' <br />