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UNDERGROU# TANK PROGRAM OFFICIAL INS5kTION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: G 5 7e f c'D INSPECTION DATE: /Z <br /> SITE ADDRESS: 15y DC7 /-/"/l--� CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK / TANK > TANK` 3 TANK <br /> FORM A AID/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF SPEC/TION SITE COMPUTER# PER# PER # PER # PER # <br /> 0'/" J�-5 EXP.DATE EXP.DATE EXE-,PATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENT // �^yry� ��/� 1 �y-y� <br /> MAJOR MINOR GA w�V el S, fifi��'yy L( ` [� 'S("/ �� t'--tv ' <br /> PERMIT TO OPERATE 1 2 X <br /> CHANGE IN CONDITIONS TO OPERATE 3 <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 'x <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 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4142 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <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 REP ESENT VIOLATIONS AND UST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: �P i0✓S/i G�(r+� <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL. ❑ VIOL❑ " _. <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE' c PHONE: RECK <br /> ,- <br /> uI IT-n ORIGINAL 5/88 <br />