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UNDERGROUN[WNK PROGRAM OFFICIAL INSPEQWN REPORT <br /> N JOAQUIN HE1601 E. TAQLITH DISTRICT <br /> STOCKTON, CA 95205 COUNTY # 3 `� <br /> COUNTY NAME PHONE NO. 468-3423 <br /> Q INSPECTION DATE: g-22-9 d <br /> SITE NAME: C4 f7- s _ f O N- A-C, -� COAD ' Q <br /> SITE ADDRESS: <br /> 2-L/ -T j-}p� CITY/STATE/Z] I�,/�t— <br /> CHANGES SITE/ YES NO TANK <br /> TANK TANK TANK <br /> FORM A AND/OR COMPUTER COMPUTER COMP TER COMPUTER <br /> B SUBMITTED? <br /> NUMBER IQ00 NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# U A '^""" PER # PER# PER# <br /> EXP.DATE EXP.DATE <br /> EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK 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 <br /> 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 /> -- -"-" "� - <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 - - — - J <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> -" --"`"--` <br /> IMPROPER ABANDONMENT 5 56 <br /> THEM RKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTEDOR^A 'S <br /> fi <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: e{ ���� e - <br /> 59 <br /> MAJOR 57 MINOR 58 NO ed 2V' 0., <br /> VIOL. - VIOL. ❑ VIOL.❑ <br /> Go: Inblic 'seAL-'dt S ✓IC <br /> S U n. I I^e�w aJ2tr� <br /> 6L I^ - Z U mR <br /> OFFICE: <br /> INSP:�� RECEIVED BY: ✓b 151 <br /> TITLE: PHON / BECK: <br /> 5/88 O <br /> NUT-3 ORIGINAL <br />