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ORGROUND TANK OFFICIAL INSPECTION ART <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> Mailing Address: P.O.Box 388 <br /> COUNTY NAME Stockton,CA 85201.0388 <br /> aK 468.3420 COUNTY # 9 <br /> SITE NAME: c �, 4 L INSPECTION DATE: <br /> l/ABY <br /> SITE ADDRESS-./,5-9 cz) / CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YE NO TANK TANK Z, TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTEF� COMPUT R <br /> TYPE OF, N PECTION SITE COMPUTER# Por <br /> ER <br /> NUMBER �nf6 PER NUMBER V, .Ml PER NUMBER/o, PEOro <br /> R#EIUM � <br /> EXP.DATE U"" EXP.DATE 0 �" EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTEN S � <br /> MAJOR MINOR Q.0 <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> -_� _- <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 /> SAMPLING 29 30 -- <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 135 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE '^ <br /> REMOVAL OF RESIDUAL W4445 <br /> 39 <br /> FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED 42POWER DISCONNECTED 437 1 <br /> 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 REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST K ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 ; ?° <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> DFFI -s INSP: ECEIVED BY: <br /> 6111/ TITLE: �r � � PHONE: BECK: <br />