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CIAL <br /> UNDERGROUNDS JOAQUIR AM HEA FI DISTRICT TECT,�J REPORT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 205 <br /> COUNTY NAME PHONE NO. 468 3423 COUNTY # 3 <br /> SITE NAME: p F --frc loo L I Zg — INSPECTION DATE: <br /> SITE ADDRESS: Q D G /� )s -3CITY/STATE/ZIP Gam_ S�s3�f <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER SCS d NUMBER NUMBER NUMBER <br /> TYPE <br /> OF INSP CTJON SITE COMPO ER# PER# Q ietyi( PER# PER# PER# <br /> EXP.DATE- EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR - g< { •%"`{^ <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 <br /> INVENTORY RECONCILIATION 21 22 __ ._... <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 2 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 ___ <br /> SAMPLING 29 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> . <br /> TEMPORARY TANK CLOSURE <br /> { J { <br /> REMOVAL OF RESIDUAL w77 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED 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 ._. _.._. _. .. .._._ _... _...... <br /> THE MARKED ITEMS REP R SENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR X57 MINOR 58 NO 59 <br /> VIOL. Y\i VIOL. L-1VIOL.❑ <br /> OFFICE: INSP: RECEIVED BY: <br /> or <br /> TITLE: /< PHON RECK: <br /> HUT-3 ORIGINAL sig O" <br />