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UNDERGROUP TANK PROGRAM OFFICIAL INSPK-'TION REPORT <br /> ,,,jAN JOAQUIN HEALTH DISTRICT ,,,sr <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> (� PHONE NO. 468-3423 <br /> SITE NAME: V N fG c. (, INSPECTION DATE: <br /> SITE ADDRESS: J�Q 7, , a$7�4 QS�ITY/ E IPC, 9�2G 6 <br /> CHANGES SITE/OWNER/PERMIT??^'YES NO TANK TANK /v TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> 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 137 4 <br /> APPROVED CONSTRUCTION 6 <br /> WRITTEN MONITORING PROCEDURES 8 _ <br /> APPROVED MONITORING SYSTEM 10 _ <br /> MONITORING SYSTEM 12 <br /> APPROVED MONITOR FREQUENCY 14 <br /> MONITORING RECORDS MAINTAINED 16 <br /> ACCESS CASING SECURED 18 <br /> PIPING 20 <br /> INVENTORY RECONCILIATION 22 _ <br /> TANK GAUGING 24 <br /> APPROVED RESPONSE PLAN 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 28 <br /> SAMPLING 30 <br /> APPROVED TANK REPAIRS 32 <br /> UNAUTHORIZED RELEASES REPORTED SAFETY HAZARD CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED _ <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 /> SAMPUNG 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEM REPRESS TIONSS.AN'D MMU E CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FO OWS: <br /> elSB <br /> Q <br /> MAJOR 57 MINOR NO 59 , r <br /> VIOL. VIOL. ❑ VIOL❑ <br /> OFFICE: INSP: RECEIVED Y, <br /> Cv J <br /> TITLE:��S� PH E: RECK: <br /> HUT-3 ORIGINAL <br />