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UNDERGROU!r' TANK PROGRAM OFFICIAL INSPF TION REPORT <br /> �3AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 525 <br /> COUNTY NAME :50,0 JoQ PHONE NO. 468-934203 COUNTY # <br /> SITE NAME: Q INSPECTION DATE:G� <br /> SITE ADDRESS:ZO� `/e 5� CITY STATE/ZIP <br /> S SITE/OWNER/PERMIT? YES NO TANK Q� TANK TANK TANK <br /> FORM A ND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER UMBER NUMBER <br /> INSPECTII NN SRE C MPUT�R# PER# PER# PER# PER# <br /> ((,,jj,,��[[((,, GG// 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 3 4 <br /> APPROVED CONSTRUCTION 5 <br /> WRITTEN MONITORING PROCEDURES 7 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 4 /. v <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 HAZARD <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 ME <br /> OWNER/OPERATOR MONITORING 44 45 <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 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRES NTVIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM SVATUSUST MARK ONE) FOLLOWS:MAJORMINOR8 NO 59VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: 16RECEIVED BY: <br /> TITLE:Qom'/ .,f�r D PHONE: BECK: <br /> HUT-3 ORIGINAL �I J sees ©M <br />