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UNDERGROW"TANK PROGRAM OFFICIAL INSP-- ')N REPORT <br /> _ N JOAQUIN HEALTH DISTRICI...o—, <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTS # 3 <br /> PHONE NO. 468-3423 <br /> SITE NAME: g N e�5 7/2(1 CKI N c- INSPECTION DATE: 1-/6 -g Z <br /> SITE ADDRESS: jj 1 -7 5 , FlzeSNb CITY/STATE/ZIP 5�064-ff),/ LA 14'L(J{ <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK 'I-- TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER a 7 COMPUTER �7 COMPUTER COMPUTER <br /> TYPE Ofy ItZISPECTION SITE COMPUTER# <br /> / NUMBER/D (J�" NUMBER/O O!/�' NUMBER NUMBER <br /> PER# <br /> / 'NU �6 4 EXP.DATE )'6G/ EXP.DAT016e EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANKCOM NIS <br /> MAO 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 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPUNG 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 CLaSURE <br /> REMOVAL OF RESIDUAL I 38 139 _ <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 r43 <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING 44 <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 REPRESENT VIOLATI �,]d MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS57 <br /> MAJ ' 4 1 0' -r'4 <br /> L <br /> VOLOR ® VIOL.R ❑ VIOL. aP7 <br /> 58 NO <br /> ❑ C 1 <br /> AJG ZS <br /> Ge W45 Ag <br /> CTO I S hMa f <br /> OFFICE: INSP:lf-/ RECEIVE <br /> X <br /> fl-6 3 31- TITLE: PHON : 3j,4 3 6BECK: <br /> HUT-3 ORIGINAL 5/M O <br />