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UNDERGROWn T^NK PROGRAM OFFICIAL INSP`'T -)N REPORT <br /> ' <br /> JOAQUIN HEALTH DISTRICT `- <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: P)/���A�, N Tka G`E L'Ki 6- INSPECTION DATE:12 <br /> SITE ADDRESS: 19 s / CITY/STATE/ZIP S-ro! � 6#' q TZO6 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER� COMPUTER COMPUTER COMPUTER <br /> R# NUMBEAQ $14' NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMP <br /> PER# I j 4AW PER# PER # PER # <br /> 1�� <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPER IONAL TANK MNK CONTENTS <br /> MAJOR I 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 X <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 X <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 1 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <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 REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: U <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL VIOL ❑ VIOL.❑ <br /> OFFICE: INSP. RECEIVED BY: <br /> TITLE:��f/s PHONE: BECK: <br /> HUT-3 ORIGINAL Sew ©A° <br />