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+ UNDERGROUND TANK&OGRAM OFFICIAL INSPEC*N REPORT <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT P C. 16 f <br /> SITE NAME �' INSP DATE: _ 1 -7 <br /> �o ( _f.o Id�� ard._S 9 <br /> SITE ADDRESS J.ZCO S, N� C/S/LQf1� Ccz ��• f s33� <br /> CHANGES SITE/OWNER/OPER 7 TANK--a I TANK# Z TANKS-3, TANK-* <br /> YES NO M.F.R. SUBMIT. ID NIJ,t�e(AdLCt ID N /�ellvl� r IDN D(GSe� ID Nw� fg (JI � <br /> PER N100006AL PER Nlf-;000G./IL PER 1 /0/00 PER N,2S06gt <br /> r <br /> CORP. N T E OF INSP EXP DAQ EKP DATE DIP DATE - EXP DATE <br /> IONAL VIOLATIONS <br /> rmit to Opnretn Annge in Cond. to OperateNpproved Constructionritten Monitoring Procedures '4.5 •A ' S 7pproved Monitoring System Oonitoring System OperationalK I <br /> pproved Monitoring Frequency onitoring Records Maintained occess Casing Secured OK I <br /> iping Inventory Reconciliation v � �'/ 0Ii' ✓ I• ®K <br /> 12. Tank Gueging Al <br /> 13- Approved Response Plan <br /> 14. Unauthorized Release Occurrence <br /> 15. Sampling <br /> ` 16. Approved Tank Repairs <br /> 11. Unauthorized Releases Reported <br /> 18 Safety Hazard <br /> 19. Conditions Abated <br /> TOWGRANY CLOSURE <br /> 20. Rwmoval of Residual Materials <br /> 21. Flammable Vapors Removed _ <br /> 22. Access Locations Sealed - <br /> 23. Power Disconnected <br /> 24. Owner/Operator Monitoring <br /> pE[*Q 2rr CLOSURE <br /> 25. Removal of Residual Materials <br /> 26. Piping <br /> 27. Flammable Vapors Removed - <br /> 28. Unauthorized Release <br /> 29 Sampling <br /> 30. Improper Abandonment <br /> Tjis,me ked item" repres?nt vlolat ons and must eo retied as follows: <br /> of_ <br /> un-k-5 rturl a 's' r7 s 4e5-r3 o ' v <br /> SF/1 stl b -3 "-8 <br /> Ver r i .co c i ,r e i <br /> bas ' �— <br /> UF F IC': P: /I RECE : <br /> SAN 1OST O LOCAL HEALTH D13TR1 f�YJ rvr — �� �wnelr <br /> POST OFrlCC I30;: 2009 <br /> STOCKTON. CALIF. 95201 TI RECHECK: <br /> ATTN: ENVIRON. HEALTH -�78 <br />