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UNDERGROU' TANK PROGRAM OFFICIAL INSP" 'TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT-- <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMES �b STOCKTON, CA 95205 COUNTY # 3 9 <br /> h� PHONE NO. 468-3423 <br /> SITE NAME:gp,,, �-e u e'4aINSPECTION DATE: <br /> SITE ADDRESS: ,(, CITY/STATE/ZIP,S t 4�4,/ 0; g 5aQS" <br /> CHANGES SITE/OWNER/PERMI . YES NO TANKVO If TANK O ;1- TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER S$}, NUMBER 158 - NUMBER NUMBER <br /> r�� _ n �a_ PER# PER# PER# PER# <br /> SLC- 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 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 REPAIRS135k <br /> UNAUTHORIZED RELEASES REPORTEDSAFETY HAZARD CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 411 <br /> ACCESS LOCATIONS SEALED 41 42 1 <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) FOLLO <br /> 58 <br /> MAJOR MINOR NO 59 <br /> VIOL 57 VIOL El VIOL <br /> ❑ <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: PHONE: RECK: <br /> HUT-3 ORIGINAL 5/m ©, <br />