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UNDERGROIW SAN JPROGRAM OFFICIAL OAQUIN EA LTH D STRIC�OTION REPORT <br />` 1601 E. HAZELTON AVE. <br />STOCKTON, CA 95205 COUNTY # <br />COUNTY NAME PHONE NO, 468-3423 <br />'� INSPECTION DATE: <br />SITE NAME: <br />XL <br />s <br />SITE ADDRESS: <br />CITY/STATE/ZIP�%� <br />C J! <br />CHANGES SITE/OWNER/PERMIT? YES NO <br />TANK <br />TANK <br />COMPUTER <br />MINOR <br />TANK <br />COMPUTER <br />PERMIT TO OPERATE <br />T K <br />COMPUTER <br />FORM AAND/OR B SUBMITTED? <br />COMPUT R <br />NUMBER <br />CHANGE IN CONDITIONS TO OPERATE <br />NUMBER <br />4 <br />NUMBER <br />APPROVED CONSTRUCTION <br />NUMBER <br />TY2f OF INSPECTION <br />SITE COMPUTER # <br />PER # <br />7 <br />PER # <br />-" <br />PER # <br />9 <br />PER # <br />' / <br />7%7 57-- <br />EXP DATE <br />12 <br />EXP. DATE <br />APPROVED MONITOR FREQUENCY <br />EXP. DATE <br />14 <br />EXP. DATE <br />OFFICE: INSP: RECEIVED B'IillI <br />PHONE: BECK: <br />TITLE: / <br />5/88 o <br />HUT -3 of l Irl . <br />OPERATIONAL TANK <br />TANK CONTENTS <br />' sr <br />MAJOR <br />MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />- <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />$ <br />-" <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />- <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />- - -� <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />_ <br />INVENTORY RECONCILIATION <br />2 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />- - <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />- <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />-_.....-.__.-. <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />-- __­_ -- <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />- --- <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />_. -..-----.- --- <br />PIPING <br />48 <br />49 <br />�.. <br />FLAMMABLE VAPORS REMOVED <br />50 <br />- <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />--- <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />MAJOR 57 MI58 NOR ❑ NO <br />VIOL.I� <br />n59 <br />VIOL. VIOL. <br />OFFICE: INSP: RECEIVED B'IillI <br />PHONE: BECK: <br />TITLE: / <br />5/88 o <br />HUT -3 of l Irl . <br />