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UNDERGROUND&K K PROGRAM OFFICIAL INSPECEN REPORT <br /> l JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # <br /> COUNTY NAME PHONE NO. 468-3423 <br /> SITE NAME: e iCA S�` � �^ 4/ 0� <br /> /�_ INSPECTION DATE: 4'v?-9z- <br /> SITE <br /> .v?-9z- <br /> SITE ADDRESS: '��p \ C� C� CITY/STATE/ZIP Art�C�9 <br /> CHANGES SITE/,OWNER/PERMIT? YES O TANK TANK L TANK TANK C <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE F INSPECTION SITE COMPUTER# PER # PER# PER# PER# <br /> tempo) e%L t s �9' F_XP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> �0 OW <br /> MAJOR MINOR OOH I/t L t <br /> PERMIT TO OPERATE 1 2 SIX -... --.. - <br /> CHANGE IN CONDITIONS TO OPERATE 3 4APPROVED CONSTRUCTION 5 6 --- <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 ..- -- --- -- <br /> MONITORING SYSTEM 11 12 - -- --- <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 - -- X-- <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 _ j -- <br /> INVENTORY RECONCILIATION 21 22 -- <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 --- <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> _... .. __ <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 38 39 --------'- <br /> FLAMMABLE VAPORS REMOVED 40 _ - .---- -- ---- " <br /> ACCESS LOCATIONS SEALED 41 42POWER 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 A <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> see. <br /> 58 59 <br /> VIOL. 57 MAJOR VIOL F] NO <br /> VIOL.❑ <br /> OFFICE: INSP: RECEIVED Y: <br /> TITLE: ,�JPHONE: HECK: <br /> HUT-3 ORIGINAL <br />