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ATY NAME <br />SITE NAME: <br />SITE ADDRESS: <br />UNDERGROUNf TANK PROGRAM OFFICIAL INSPEI `ON REPORT <br />,.1N JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />STOCKTON, CA 95205 COUNTY # -3 <br />PHONE NO. 468-3423 <br />NO I TANK <br />ORM A AND/OR B SUBMITTED? <br />YP OF INS 'ECTJON <br />SITE COMPUTER # <br />CITY/STATE/ZIP <br />-7-)2-0t44-7 <br />CIA— <br />OPERATIONAL TANK <br />TAI <br />K <br />TANKTANK <br />IN R <br />R MINOR <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />COMPUTER <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />NUMBER <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />PER # <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />(SAFETY HAZARD <br />(CONDITIONS ABATED <br />/ 37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />:LAMMABLE VAPORS REMOVED <br />\CCESS LOCATIONS SEALED <br />'OWER DISCONNECTED <br />)WNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />=MOVAL OF RESIDUAL MATERIALS <br />>ING <br />AMMABLE VAPORS REMOVED <br />(AUTHORIZED RELEASE <br />MPLING <br />°ROPER ABANDONMENT <br />TEM STATUS (MUST MARK ONE) <br />JOR 57 MINOR 58 NO <br />)L <br />Li VIOL El \110 <br />PER <br />TRACY CHP <br />395 W GRANTLASNERD. <br />TRA+�`I . cA . _ - ; - <br />I `il <br />11:19 AM <br />1UN REPORT <br />i.,NS NORMAL <br />INVENTORY REPORT <br />T I:UNLEADED $77$ GALS <br />VDLUGE = 3119 GALS <br />ULLAGE 1929 GALS <br />9pi ULLAGE= 9719 GALS <br />TC VOLUME _ 62 74 INCHES <br />HEIGHT p GALS <br />WATER VOL _ 0.00 INCHES <br />WATER = 69,6 DEG F <br />TEMP <br />* * * * * END <br />46 47 <br />48 49 <br />50_ _ _ _.— <br />51 52 .–' _ _- <br />53 54 <br />55 56THE MARKED VMS REPRESENT VIOLATIONS AND MUST BE j 03aECX&a AS <br />ORIGINAL <br />5/68 o/^ <br />INSPECTION DATE:/ it _CJ�C <br />lJ <br />CITY/STATE/ZIP <br />-7-)2-0t44-7 <br />CIA— <br />TANK <br />TANKTANK <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER <br />NUMBER <br />NUMBER <br />PER # <br />PER # <br />PER # <br />TRACY CHP <br />395 W GRANTLASNERD. <br />TRA+�`I . cA . _ - ; - <br />I `il <br />11:19 AM <br />1UN REPORT <br />i.,NS NORMAL <br />INVENTORY REPORT <br />T I:UNLEADED $77$ GALS <br />VDLUGE = 3119 GALS <br />ULLAGE 1929 GALS <br />9pi ULLAGE= 9719 GALS <br />TC VOLUME _ 62 74 INCHES <br />HEIGHT p GALS <br />WATER VOL _ 0.00 INCHES <br />WATER = 69,6 DEG F <br />TEMP <br />* * * * * END <br />46 47 <br />48 49 <br />50_ _ _ _.— <br />51 52 .–' _ _- <br />53 54 <br />55 56THE MARKED VMS REPRESENT VIOLATIONS AND MUST BE j 03aECX&a AS <br />ORIGINAL <br />5/68 o/^ <br />