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UNDERGROUf TANK PROGRAM OFFICIAL INSPOTION REPORT <br /> SAN JOAQUIN HEALTH D1STRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME; , c� STOCKTON, CA 95205 COUNTY # ; � r <br /> PHONE NO. 468-3423 <br /> SITE NAME: c INSPECTION DATE: f' <br /> SITE ADDRESS:1,5y � ko os��-6 <br /> CITY/STATE/ZIPl <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK C'/ TANK 0 -1.2-• TANK C�35 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER t NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER <br /> # PER# /Y- PER#^/ 9`'- PER # PER # /9 <br /> EXP.DATE EXP.DATE EXP.DATE 'EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 14 <br /> APPROVED 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 <br /> ACCESS CASING SECURED 17 18 .- <br /> PIPING 19 20 <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 /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 135 136 <br /> CONDITIONS ABATED FXZ, 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 <br /> OWNER/OPERATOR MONITORING 44 451 1 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS r55 <br /> 47 <br /> PIPING 49 <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 52 <br /> SAMPLING 54 <br /> IMPROPER ABANDONMENT 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: 11�' . l r <br /> JI <br /> MAJOR � MINOR n NO 59 <br /> VIOL. VIOL. LJ VIOL - <br /> S. <br /> OFFICE: INSP- RECEIVED BY: <br /> TITLE: PHONE: REGK: <br /> HUT---3 MORIGINAL 5� M <br />