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UNDERGROUb&TANK PROGRAM OFFICIAL INSPTION REPORT <br />WSAN JOAQUIN HEALTH DISTRICI� <br />1601 E. HAZELTON AVE. <br />COUNTY NAME\ STOCKTON,CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME:PQM <br />d <br />IMBPE4 t ATE: <br />SITE ADDRESS:232Ll <br />/va! <br />&r/v6 <br />CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? YES <br />OTANK <br />Oi TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? 1.110 <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER <br />PER # <br />NUMBER <br />PER # <br />NVMBER <br />R # <br />NUBER <br />P # <br />TYPE,,OOpF (INSPECTION <br />SITE COMPUTER # <br />I "UCi <br />EXP. DATE <br />EXP. DATE <br />XP, DATE <br />EXP. DATE <br />OPERATIO AL TANK <br />TANK CONTENT <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />i <br />CHANGE IN CONDITIONS TO, OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />120 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVEDACCESS <br />LOCATIONS SEALED <br />W44r45 <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS MUST MARK ONEI <br />FOLLOWS:����- <br />57 58 <br />59 <br />MAJOR MINOR <br />❑ <br />NO <br />❑ <br />VIOL. VIOL <br />VIOL <br />OFFICE: <br />INSP/Zft <br />RECEIVED <br />49,6h(-5 <br />TITLE5r <br />PHONE: <br />R CK: <br />1UT-3 ORIGINAL 5/88 0, <br />