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UNDERGROL# TANK PROGRAMA OFFICIAL INS TION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> STOCKTN, CA <br /> COUNTY NAME PHONE NO. 468-34203 COUNTY # <br /> SITE NAME: �,�' S � . INSPECTION DATE: 61? G! <br /> SITE ADDRESS: Al CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK¢ TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER avca COMPUTER COMPUTER <br /> NUMBER �i/�'av NUMBER j NUMBER NUMBER <br /> TYPE OF INSPECTION SITE C/OMPUgTER PER# /C- PER# PER# PER# <br /> A r EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> -7 777777-77777:,4 <br /> OPERATIONAL TANK ANK CONTENTS <br /> MAJOR MINOR r <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 1 <br /> MONITORING RECORDS MAINTAINED 15 116 <br /> ACCESS CASING SECURED 17 118 <br /> PIPING 19 120 <br /> - <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 38 139 <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 <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:58 <br /> MAJOR 5( MINOR NO a <br /> VIOL. L fJ VIOL. VIOL. _ <br /> OFFICE: INSP: Ei!LlfG RECEIVED BY: <br /> oel ' <br /> TITLE: . '• PHONE: RE <br /> I-IUT-3 t#ORIGINAL $/aB (M <br />