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UNDERGROUIPTANK PROGRAM OFFICIAL INS" TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> - 1601 F. HAZELTON AVE. <br /> COUNTY NRM eye CCl �, � STOCKTON, CA 95205 COUNTY # <br /> 1 PHONE NO. 468-3423 <br /> SITE NAME: / / INSPECTION DATE: '�3/6 �'3 <br /> SITE ADDRESS: N CITY/STATE/ZIP S �r'/g �) <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK / TANK ;I— TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF I P C ON SITE COMPUTER_# NUMBER NUMBER NUMBER NUMBER <br /> PER # PER# PER# PER # <br /> EXP.DAT EXP.D TE EXP.DATE EXP.DATE <br /> OPER TIONAL TANK TANK cowrENrs <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> GRANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 lio <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> .- . ._._ <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 /> __..._. <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 35 136 <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 /> SAMPLING53 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 a MINOR NO 591-1 <br /> VIOL. VIOL. VIOL.LV <br /> OFFICE: INSP ` <br /> _ <br /> ..�� 9, <br /> 11 <br /> TITLE: - ,.,' PHONV. <br /> / -3 -70 <br /> HUT-3 ORIGINAL /, i T / a sa Oh• <br />