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UNDERGROUTANK PROGRAM OFFICIAL INSP TION REPORT <br /> WAN JOA©UIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNT STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: 62�� INSPECTION DATE: C� <br /> SITE ADDRESS: C �'� CITY/STATE/ZIP f7a' 6,t <br /> CHANGES SITE/OWNER/PERMIT? f�S (NO)TANK a 1 TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER f COMPUTER COMPUTER COMPUTER <br /> TY P OF INSPECTIO SITE CO UTER# NUMBER NUMBER NUMBER NUMBER <br /> n 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 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 13 114 <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 135 136 <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 /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <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 CO RECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: z '�`� <br /> 57 58 59 0 <br /> MAJOR MINOR NO <br /> VIOL. VIOL VIOL. <br /> OFFICE: INSP: RECEIVED BY: <br /> 4 a y <br /> v TITLE: ` PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 O <br />