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UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT <br /> JFSAN JOAQUIN HEALTH DI <br /> COUNTY NAME cosy 1601 E. HAZELTON AVE. STRIC* <br /> STOCKT� � CA 95205 <br /> SITE NAME: P PHONE © 468-3423 COUNTY # .307 <br /> SITE ADDRESS: [� <br /> INSPECTION DATE:16 <br /> � ` , �� � .L / CI7Y/STATE/ZIP S�C.t"l`�?7 11� +!' <br /> CHANGES SITE/OWNER/PERMIT`'?tJYES I J � <br /> FORM A AND/OR B SUBMITTED? TANK �? TANK 0 ;j, � <br /> TYPE OF INSPECTION COMPUTER COMPUTER TANK TANK <br /> SITE COMPUTER# NUMBER NUMBER COMPUTER COMPUTER <br /> yt <br /> f & V / PER# PER# NUMBER NUMBER <br /> t� EXP.DATEPER # PER # <br /> OPERATIONAL TANK TANX CONTENTS EXP DATE EXP.DATE <br /> EXP.DATE <br /> PERMIT TO OPERATE MAJOR MINOR <br /> CHANGE IN CONDITIONS TO OPERATE 1 2 <br /> APPROVED CONSTRUCTION __ -- -- <br /> 5 6 <br /> WRITTEN MONITORING PROCEDURES <br /> APPROVED MONITORING SYSTEM 7 8 <br /> MONITORING SYSTEM -- <br /> APPROVED MONITOR FREQUENCY 13 14Q <br /> MONITORING RECORDS MAINTAINEDC{ <br /> 15 16 <br /> ACCESS CASING SECURED <br /> 17 18 <br /> PIPING _ <br /> INVENTORY RECONCILIATION 19 20 I j / ! <br /> TANK GAUGING 21 22 - <br /> - <br /> APPROVED RESPONSE PLAN 23 2425 26 ----- <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 P8 --- <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD �-- - - ----.- <br /> 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 43 - <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 a �- . ... - <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 - <br /> IMPROPER ABANDONMENT 55 56 <br /> iYSTEM STATUS{MUST MARK ONE} THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> FOLLOWS: <br /> MAJOR 57 59 <br /> MINOR NO <br /> VIOL. VIOL. LJ VIOL.❑ - <br />)FFICE: INSP: I RECEIVED BY: <br /> TITLE: PHONE: RECK: <br /> JT-3 ORIGINAL 5 88 O <br />