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PROGRAM OFFICIAL INSP UNDERGROU N JOAQUIN HEALTH D STRICTWN REPORT 1601 E. HAZELT 9 AVE. AktWL / � STOGKTON, CA 95205 COUNTY # fJ COUNTY NAME Sa Vt �D PHONE NO. 468-3423 ILI SITE NAME: /4c rK e J � Tru. TnL INSPECTION DATE: f S. jw / /, / CITY/STATE/ZIP SkmC� Cj¢ �$a� SITE ADDRESS: / K/ CHANGES SITE/OWNER/PERMIT? YES NTA O NK Q TANK TANK TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER NUMBER NUMBER NUMBER NUMBER TYPE OF INSPECTION SITE COMPUTER# PER# ;L 7 ` PER # PER# PER# -rhm'R EXP.DATE EXP.DATE EXP DATE EXP.DATE TANK CONTENTS OPERATIONAL TANK MAJOR MINOR PERMIT TO OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 3 4 -- APPROVED CONSTRUCTION 5 6 _ --- ------ -- WRITTEN MONITORING PROCEDURES 7 8 -- APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 11 12 _ ---- "" -- APPROVED MONITOR FREQUENCY 13 14 _ - -- -- --- MONITORING RECORDS MAINTAINED 15 16 - ACCESS CASING SECURED 17 18 PIPING 19 20 INVENTORY RECONCILIATION 21 22 TANK GAUGING 23 24 --- APPROVED RESPONSE PLAN 25 26 -- UNAUTHORIZED RELEASE OCCURRENCE 27 28 _ - -- SAMPLING 29 APPROVED TANK REPAIRS 31 32 UNAUTHORIZED RELEASES REPORTED 33 34 _- SAFETY HAZARD 35 CONDITIONS ABATED - 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 38 39 ... - FLAMMABLE VAPORS REMOVED 40 ------- ACCESS LOCATIONS SEALED 41 42 - ----_-.--- POWER DISCONNECTED 43 - - OWNER/OPERATOR MONITORING 44 45 1 PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS [53 47 .. _.. PIPING 49 FLAMMABLE VAPORS REMOVED -"-`--- UNAUTHORIZED RELEASE 52 - ------'"`-"- SAMPLING 54 IMPROPER ABANDONMENT 155 156 " THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTES S I SYSTEM STATUS(MUST MARK ONE) FOLLOWS: 59 MAJOR ki 57 MINOR 5840 �y/ VIOL. ❑ VIOL ❑ VIOL.LJ OFFICE: INSP RECEIVED BY: TITLE: {/VcOwl� sine O� HUT-3 O IGINAL