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UNDERGROU' TANK PROGRAM OFFICIAL INSF :TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICI:. <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # <br /> COUNTY NAK_YA ^ PHONE NO. 468-3423 <br /> l INSPECTION DATE: 31/6,`2' <br /> SITE NAME: /e �L� 'u, <br /> SITE ADDRESS: /' 'Fs //. J CITY/STATE/ZIP �jt/ / <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? TER COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYP OFINSPECTION NUMBER NUMBER NUMBER NUMBER <br /> SITE COMPUTER# <br /> PER#'V/ PER# M O y PER#Di Q(y PER# D7 <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE <br /> APPROVED CONSTRUCTION 5 6 _ <br /> WRITTEN MONITORING PROCEDURES 7 8 _ <br /> APPROVED MONITORING SYSTEM 9- 12 <br /> _ <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 /6 <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 22 <br /> SAFETY HAZARD 135 136 1 <br /> CONDITIONS ABATED 37 VA <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 F,ZZZZA <br /> ACCESS LOCATIONS SEALED 41 142 1 <br /> POWER DISCONNECTED43 _ <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> _ <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 MUSI BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR <br /> 57 MINOR 58 'V'I( <br /> 5 eA, <br /> VIOL LiVIOL LiVIOL <br /> OFFICE: INS-P: � � � p RECEIVED BY: <br /> TITLE: <br /> I� PHONE: RECK: <br /> HUT-3 ORIGINAL 5/88 OM <br />