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PROGRAM OFFICIAL <br />CWN <br />UNDERGROUNDWN JOAQUIN HEALTH DISTRICT E REPORT <br />W <br />1601 E. HAZELTON AVE. <br />STOCKTON, CA 95205 COUNTY # 37 <br />3423 <br />6uun11 NAME <br />PHONE NO. 468 - <br />_ <br />INSPECTION DATE: <br />SITE NAME: <br />SITE ADDRESS: l�y�i <br />6G,9� 7- CITY/STATE/ZIP <br />s�o�KfDi, <br />ER/PERMIT? YES <br />CHANGES SITEEBSIUBMiTTED? <br />hem <br />NO <br />TANK TANK <br />TANK TANK <br />FORM AAND/O <br />COMPUTER COMPUTER <br />COMPUTER COMPUTER <br />NUMBER NUMBER <br />NUMBER22730/NUMBER <br />TYPE OF INSPECTISITE COMPUTER # <br />PER # PER # <br />PER # PER # <br />EXP. DATE EXP. DATE <br />EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />TANKCONTENT <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />_-- <br />-- <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />- <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />- <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />-- <br />ACCESS CASING SECURED <br />17 <br />18 <br />- <br />PIPING <br />19 <br />20 <br />- <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />- <br />- - <br />TANK GAUGING <br />23 <br />24 <br />.- -- <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />SAMPLING <br />29 <br />-- <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />- <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />- <br />SAFETY HAZARD <br />35 <br />36-- <br />CQNDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />-. <br />FLAMMABLE VAPORS REMOVED <br />40 <br />-- <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />-------- <br />_--__POWER <br />POWERDISCONNECTED <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 />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 />/i <br />57 58 <br />MIN <br />❑ VIOL OR ❑ <br />59 <br />VOL. ❑ <br />VIOLOR <br />OFFICE: <br />INSP: �� <br />Z <br />RECEIVED) <br />TITLE: <br />5 <br />PHONE: BECK: <br />y68-34�k <br />5/88 0� <br />ORIGINAL <br />