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UNDERGROUND "41`,JIK PROGRAM OFFICIAL INSPEC'ON REPORT <br /> ,,AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # 3� <br /> PHONE NO. 468-3423 <br /> SITE NAME: i Llcz INSPECTION DATE: r Z3�%7i <br /> SITE ADDRESS: L166 <br /> h CITY/STATE/ZI "(4-3 71 j <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER/aod NUMBER NUMBER NUMBER <br /> TYPE OFPECTION SITE COMPUTER# PER# [ PER# PER# PER# <br /> hG U EXP.DATE EXP_DATE EXP.DATE 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 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 21 122 <br /> TANK GAUGING 23 124 <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 W43 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <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 jL <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CO RECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: L` `d�j a�'T <br /> MAJOR57 MINOR 58 NO 59 _ <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE: INSP: (� RECEIVED BY: <br /> ol <br /> TITLE: I�7� "r✓ PHONE NECK: <br /> y�i'o2o 3 <br /> HUT-3 ORIGINAL slw ©" <br />