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UNDERGROUN NK PROGRAM OFFICIAL INSPE N REPORT <br /> 'WN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # <br /> OUNTY NAME PHONE NO. 468-3423 <br /> SITE NAME: ��f INSPECTION DATE:�/��Z/- <br /> AX <br /> SITE ADDRESS: �� CITY/STATE/ZIP 7Ao '�CHANGES <br /> ORM A AND/OR B SUBMITTED? <br /> YES NO TANKCOMPUTANK TANK TANK <br /> TEF�/n'-/ COMPUTER COMPUTER COMPUTER <br /> NUMBER //leo NUMBER S NUMBER�q/�S/ NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER J� PER#OIJK PER# v< PER# (,GfA-J PER# <br /> 06� EXP.DATE Size- EXP.DATE//-Ze EXP.DATE -S/2'e EXP.DATE <br /> OPERATIONAL TANK TMK NTS-M-AJ-0-RI <br /> PERMIT TO OPERATE 1 2 _. . . <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 13t7 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 <br /> SAMPLING - <br /> APPROVED TANK REPAIRS _ ... <br /> UNAUTHORIZED RELEASES REPORTED <br /> SAFETY HAZARD <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 /> SF la <br /> -q STATUS(MUST MARK ONE) FOLLOWS: 'e -/m� 2 a- 0 P <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL. ❑ VIOL❑ <br /> OFFICE: INSP-. RECEIV1�D fBY: <br /> TITLE: PHONE: wnC/ REC�C�— <br /> �� <br /> HUT-3 ORIGINAL alae OM <br />