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UNDERGROlp TANK PROGRAM OFFICIAL INWTION REPORT <br /> SAN JOAQUIN HE oL�TH DISTRI <br /> 1601 E.COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE. NO. 468-3423 <br /> SITE NAME: INSPECTION DATE: //-3 <br /> SITE ADDRESS: � � CITY/STATE/ZIP /4?ay A r <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK / TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER n COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER (/ NUMBER �� � NUMBER NUMBER <br /> PER# ��� P[f PER # I 1 / PER # PER# <br /> l EXP.DATE EXP DATE L� EXP,DATE EXP.DATE <br /> OPERATIONAL TANK TANK c°"Te"' <br /> MAJOR oMINOR <br /> PERMIT TO OPERATE 1 2 /4 _ <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 I <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 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 44 145 <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 REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 <br /> MAJOR MINOR 58 NO 59 <br /> VIOL. VIOL ❑ VIOL.❑ <br /> OFFICE:L � �� INSP: RECEIVED BY: <br /> TITLE:-. —�. PHONE: BECK: <br /> ZI-1' <br /> HUT-3 ORIGINAL arae COQ <br />