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UNDERGROU' ` TANK PROGRAM OFFICIAL INSP' 'TION REPORT <br />USAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON,CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: Sl 4? <br />/l� S <br />INSPECTION DATE: Q- <br />SITE ADDRESS: / o`d7�V <br />If o <br />g6i <br />CITY/STATE/ZIP �/v�` j <br />r2 <br />CF, <br />CHANGES SITE/OWN6ER/PERMIT? <br />YES NO <br />TANK <br />TANK TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />COMPUTER COMPUTER <br />COMPUTER <br />NUMBER <br />NUMBER NUMBER <br />NUMBER <br />TYPE NSPEQTION <br />SITE COMPUTER # <br />IT K'(f`p��niWe,Vl <br />rAA) 4 <br />5 <br />EXP. DATE <br />P. DATE EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />m <br />WT <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />APPROVED MONITORING SYSTEM <br />9 10 <br />MONITORING SYSTEM <br />11 12 <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />MONITORING RECORDS MAINTAINED <br />a <br />15 16 7J <br />ACCESS CASING SECURED <br />17 18 ` <br />PIPING <br />19 20 <br />INVENTORY RECONCILIATION <br />21 22 <br />TANK GAUGING <br />23 24 <br />APPROVED RESPONSE PLAN <br />25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />331 <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />I38 139 <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />W4445 <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />. •; <br />REMOVAL OF RESIDUAL MATERIALS <br />46 47 <br />PIPING <br />48 49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 52 <br />SAMPLING <br />53 54 <br />IMPROPER ABANDONMENT <br />55 56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />57 58 <br />59 <br />LJVIOLL.. R ❑ NO <br />❑ <br />VIOLOR VOL. <br />OFFICE: <br />INSP j T Q, a <br />RECEIVED BY: <br />TITLE: SEW 1 OR RE HE <br />PHONE: <br />BECK: <br />i-IUT-3 ORIGINAL 5/88 O, <br />