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UNDERGROII►'7 TANK PROGRAM OFFICIAL INSPECTION 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: U,/� G� �o INSPECTION DATE:�L3 c� <br /> SITE ADDRESS: /�� �� CITY/STATE/ZIP Gp0^ �(4j24f0 <br /> RANGES SITE/OWNER/PERMIT? YES NO TANK v 1 TANK o r-- TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER/O,~ COMPUTERtjg~ COMPUTER ti,q>p COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER _ NUMBER NUMBER NUMBER <br /> �- PER# PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONIEWS <br /> MAJOR MINOR - <br /> PERMIT TO OPERATE 2 v All <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 14 (/ <br /> MONITORING RECORDS MAINTAINED 15 16 _ <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 / <br /> INVENTORY RECONCILIATION 22 •� _ ✓ <br /> TANK GAUGING 23 124 <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 I 38 139 <br /> FLAMMABLE VAPORS REMOVED 40r43 <br /> ACCESS LOCATIONS SEALED 41 <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING 44 <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 <br /> 'VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: 9F� 146y-�t wz58 <br /> - <br /> MAJOR 57 MINOR NO 59 <br /> VIOL VIOL ❑ VIOL❑ <br /> OFFICE: INSP. REC Y: <br /> TITLE: �Q_ !) PHONE�`a `D 3 2 PECK: <br /> HUT-3 ORIGINAL bs J 5/m ©' <br />