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UNDERGROU ANK PROGRAM OFFICIAL INSP ION REPORT <br /> WAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME n �Oq STOCKTON, CA 95205 COUNTY # 9 <br /> I PHONE NO. 468-3423 <br /> SITE NAME: -rime' di <br /> C„ INSPECTION DATE: <br /> SITE ADDRESS: '5015 Navy -T�w CITY/STATE/ZIP 5 CA <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK D 1 TANK 02- TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> T( PE•O,FLINSPECTION SITE COMPUTER# NUMBER 7//f7E030 NUMBER-r0eD 0 NUMBER NUMBER <br /> 1`O(j 1ne- 'I"!niE 030 ER# PER# PER# PER# <br /> EXP.DATE' EXP.DATE .. EXP.DATE I EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 - <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 78 <br /> APPROVED MONITORING SYSTEM 9 10 1/ <br /> MONITORING SYSTEM 11 12 <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 /> YANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <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 42 <br /> POWER 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 AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL. ElVIOL.❑ <br /> OFFICE: INSP: RECEIVED BYr <br /> TITLE: 6F17 v. JSP vv) PHONE: RECK: <br /> HUT-3 ORIGINAL siae ©, <br />