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UNDERGROUNgKANK PROGRAM OFFICIAL INSPEON REPORT <br /> N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 4688--3423 <br /> SITE NAME: /7�h//N CrpNTeAG%O� INSPECTION DATE:: l o <br /> SITE ADDRESS: 0oOVSeC'o-I�af 57 CITY/STATE/ZIP C70�7,eN I� �5�6 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK J TANK 7s ✓TlANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER&/(� COMPUTER COMPUTER COMPUTER/Jay <br /> NUMBER p NUMBERi NUMBER /� NUMBER <br /> TYP OF INSPECTION SITE COMPUTER# PER # /�� PER# G�-�'Y" PER# `7 PER p#�_ 8r� <br /> �/ EXP.DAT EXP.DATE EXP.DATE/C P.'°DAT(!�6' <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR OR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <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 - 15 116 -' <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 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 4 / <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED S <br /> SYSTEM STATUS( ST MARK ONEI - FOLLOWS: L) <br /> 2 <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: kill^ RECEIVED BY: <br /> TITLE: �'!�/� PHONE: ECK: <br /> E <br /> HUT-3 ORIGINAL 5/88 Om <br />