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UNDERGROU 7 TANK PROGRAM OFFICIAL INSr'CTION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT./ <br /> r <br /> COUNTY NAME 1601 E. HAZELTON AVE.STOCKTON, CA 95205 <br /> ?� <br /> PHONE NO. 468 3423 COUNTY # 3' 6 <br /> SITE NAME: 14 0411 INSPECTION DATE: <br /> SITE ADDRESS: C CITY/STATE/ZIP 6 <br /> CHANGES <br /> AND/OR B SUBMITTED? CTA N K�- ot TANK TANK TANK <br /> OMPUT <br /> ORM AER COMPUTER 6Z COMPUTER 03 COMPUTER <br /> TYP F INSPECTION SITE COMPJ,LDATE <br /> NUMBER NUMBER NUMBER NUMBER <br /> iO # PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK <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 9-17' <br /> 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 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 HAZARD35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> .:&. <br /> PERMANENT TANK CLOSURE 7REMOVAL 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 MARK%rEM$REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 9 <br /> MAJOR p57 MINOR NO 59 <br /> VIOL CJ VIOL ❑ VIOL.❑ <br /> OFFICE: INSP: ' I RECEIVED BY: <br /> c-` TITLE: t .,' � PH E: BECK: <br /> iUT-3 ORIGINAL 515 ©M <br />