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UNDERGROUr" TANK PROGRAM OFFICIAL INSP 'TION REPORT <br /> "SAN JOAQUIN HEALTH DISTRICI <br /> / 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 <br /> VVV PHONE NO. 468-3423 COUNTY # <br /> SITE NAME: <br /> INSPECTION DAT/E:�9�}2�j7�� <br /> SITE ADDRESS: CITY/STATE/ZIP G' `'� ! ✓UJ <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER D/ COMPUTER COMPUTER COMPUTER <br /> TYPA OF INSPECTI SITE COM R# NUMBER NUMBER NUMBER NUMBER <br /> n PER# PER# PER # PER# <br /> (� EXP.DATE EXP.DATE EXP.DATE D ITE <br /> OPERATIONAL TANK TANK CONMN <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 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 <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 36 <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 />\ RMAn55 <br /> OSURE <br /> REM FALS 46 47 <br /> PIPING48 49 <br /> FLAMMABLE 50 <br /> UNAUTHORIZ51 52 <br /> SAMPLING53 54 <br /> IMPROPER AB55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 2- <br /> 57 <br /> 7MINOR 58 NO 59 <br /> VIOL Li <br /> ❑ VIOL <br /> OFFICE: INSP: /�r Y n RECEIVED BY: <br /> Cl <br /> TITLE: .6S _ PHONE: PECK: <br /> HUT-3 ' ORIGINAL'V , 51W Om <br />