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UNDERGROUI MTANK PROGRAM OFFICIAL INSPWVION REPORT <br /> N■6AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZEL-TON AVE. <br /> STOCKTON, CA 9525 <br /> COUNTY NAME PHONE NO. 468-34203 COUNTY # � <br /> SITE NAME: 1, �.f1�/ ,,I �. erop&-l? INSPECTION DATE: 111-01 <br /> ! - <br /> SITE ADDRESS: [f�I L CITY/STATE/ZIP L YW,) <br /> CHANGES SITE/OWNER/PERMIT? YES O TANK o/ TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPEjQF INSPECTION SITE/COMPUTER# PER# PER# PER # PER # <br /> EXP,DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 12 <br /> CHANGE IN CONDITIONS TO OPERATE 3 14 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 18 <br /> APPROVED MONITORING SYSTEM 9 110 <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 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 m 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 /> SAMPLING 53 54 <br /> WPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOW& 09 <br /> MAJOR 57 MINOR 58 59 <br /> NO <br /> VIOL. VIOL. ❑ VIOL. <br /> OFFICE: INSP: RECENED BY: <br /> C� <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL siaa O+ <br />