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UNDERGROUbTANK PROGRAM OFFICIAL INS�TION REPORT <br /> AN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMESTOCKTON, CA 95205 COUNTY # <br /> �r PHONE NO. 468-3423 <br /> SITE NAME: g PNC 2 INSPECTION DATE: /1 y" <br /> / CITY/STATE/ZIP <br /> SPFE ADDRESS: ,C�O'�I L '' ✓>r .� i'1 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK 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 .`. >. ,. .,.$.. ..... ;. i., <br /> i <br /> PERMIT TO OPERATE 1 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 14 <br /> APPROVED CONSTRUCTION 5 1 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 1 _ <br /> APPROVED MONITORING SYSTEM 9 10 _ <br /> MONITORING SYSTEM 11 12 r __ <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 K293O <br /> UNAUTHORIZED RELEASE OCCURRENCE <br /> 'SAMPLING APPROVED TANK REPAIRS UNA4,�THORIZED RELEASES REPORTED'-SAFETY HAZARD CONDITIONS ABATED777777T77777 7� <br /> .% <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W44457 <br /> 9 <br /> FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED 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 MARK ONE) <br /> Nb v / FOLLOWS; '- , i i l n �, <br /> MAJOR 57 MINOR 58 NO 59 1,. �<-o,..,n <br /> ,VIOL. ❑ VIOL ❑ VIOL❑ ��r ,1 <br /> OFWCE: INSP. / RECEIVED BY: <br /> TITLE: /: PHONE: BECK: <br /> HUT-3 FILE COPY 5i8B ©M <br />