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UNDERGROUl TANK PROGRAM OFFICIAL INSPF —TION REPORT <br />—SAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 <br />emorrym <br />HUT -3 ORIGINAL 5/88 01 <br />4V -3423 . 11 <br />SITE NAME: <br />INSPECTION DATE:/ <br />SITE ADDRESS: <br />CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO TANK <br />TANK TANK <br />FORM A AND/OR B SUBMITTED?- <br />COMPUT <br />TANK <br />COMPUTER COMPUTER COMPUTER <br />T IWPECTIOW SITE ECOMPU_ <br />TER # <br />YX_117�m_ <br />NUMBER (j NUMBER NUMBER NUMBER <br />M MB <br />PER # <br />PER # PER # PER # <br />jEXP <br />EXP DATE <br />EXP DATE DATE: EX RDATE <br />OPERATIONAL TANK WIK <br />�� <br />OR MINOR <br />, <br />PERMIT TO OPERATE 1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES 7 <br />7 - <br />APPROVED MONITORING SYSTEM 9 <br />110 <br />MONITORING SYSTEM 11 <br />12 <br />APPROVED MONITOR FREQUENCY 13 <br />14 <br />MONITORING RECORDS MAINTAINED 15 <br />16 <br />ACCESS CASING SECURED 77 <br />TB <br />PIPING 19 <br />INVENTORY RECONCILIATION -il <br />'2'2 <br />TANK GAUGING 23 <br />24 <br />APPROVED RESPONSE PLAN 25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />SAMPLING 29 <br />30 <br />APPROVED TANK REPAIRS Tl_ <br />32 <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />SAFETY HAZARD 35 <br />36 <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL 38 <br />39 <br />FLAMMABLE VAPORS REMOVED 40 <br />ACCESS LOCATIONS SEALED 41 <br />42 <br />t45 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING 441 <br />5 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 46 <br />47 <br />PIPING 48 <br />49 <br />FLAMMABLE VAPORS REMOVED 50 <br />'51 <br />UNAUTHORIZED RELEASE <br />-- <br />52 <br />SAMPLING 55 <br />54 <br />- <br />IMPROPER ABANDONMENT 56 <br />- -- - - ---------------------- <br />56 <br />------- <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />57 59 <br />MAJOR MINORMINOR58 u .40 <br />❑ ❑ <br />VIOL VIOL. VIOL <br />OFFICE: <br />INSP. <br />-RECEIV <br />�WBY <br />V,6't <br />TITLESr_ <br />k-16wy <br />NE' <br />a <br />RECK: <br />HUT -3 ORIGINAL 5/88 01 <br />