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UNDERGROU!" TANK PROGRAM OFFICIAL INSP� 'TION REPORT <br />... SAN JOAQUIN HEALTH DISTRICT _ <br />1601 E. HAZELTON AVE. 7 <br />STOCKTON, CA 95205 COUNTY #J <br />COUNTY NAM yYL��n % PHONE NO.468-3423 <br />SITE NAME: <br />INSPECTION DATE:e ZS <br />SITE ADDRESS: /b Z <br />CITY/STATE/ZIP <br />CHANGES SITE/(OWNER/PERMIT? <br />YES <br />NO IIANK pj <br />TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER <br />NUMBER <br />NUMBER <br />NUMBER <br />TYPE OF INSPECTION SITE COM <br />�R'I <br />EXP. <br />O17ANK <br />EXP. DATE <br />EXP. DATE <br />DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />COM NI <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />5 <br />16 1_ <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />122 <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />_ <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />E34 <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />3B <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />_ <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />1+7- <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPERABANDONMENT <br />55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS` <br />�a4a"- <br />58 <br />59 <br />MAJOR 57 MINOR <br />El <br />VIOL. VIOL. VIOL. <br />OFFICE: <br />INSP: <br />D <br />RECEIVED BY: <br />TITRE: �� <br />PHONE: <br />RECK: <br />HUT -3 ORIGINAL 5/88 O, <br />