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UNDERGROUPMTANK PROGRAM OFFICIAL INSP ION REPORT <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # <br /> COUNTY NAME S,4 1 PHONE NO. 468-3423 <br /> SITE NAME: ' => -f� INSPECTION DATE: -3--?��l <br /> SITE ADDRESS: 7 7� ' r�� ��Xawr CITY/STATE/Z1P � CIAI� <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK p TANK TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF IN PECTION SITE COMPUTER# PER # PER# PER# PER# <br /> _ J( Q EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATION L 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 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 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 _�.... <br /> FLAMMABLE VAPORS REMOVED 40 m I------ <br /> ACCESS <br /> ----ACCESS LOCATIONS SEALED 41 42r- <br /> POWER DISCONNECTED 43 - <br /> OWNER/OPERATOR MONITORING 144 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: LL'58 59 <br /> MAJOR 57 MINOR NO <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INSP <br /> PHONE <br /> FE <br /> 5/88 ' <br /> HUT-3 ORIGINAL <br />