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UNDERGROUND TANKOGRAM OFFICIAL INSPEC%N REPORT <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> SITE NAME 5 CIG ✓! 01'1 INSP DATE: <br /> SITE ADDRESS �6v2y � • yp $� MI C/5/Zmc,r I0 5�.3�7 <br /> CHANGES SITE/OWNER/OPER 7 TANK -il'- j TANK 44--,)– TANK#73 TANK-i7L/- <br /> YES NO M.F.R. SUBMIT. ID 0 �L rjuMp N ke aa'F 11 1 ID MWa5-t-- 61,1 <br /> SITE COMP. # TYPE OF IINSP PER '7367GA PER M33ioSC:!{ PER N•7367Gf1L PER M550GAL <br /> C OUT IYIe EU DATE E" DA EXP DATE EXP DATE <br /> OlVRKT1GMAL VIOLATIONS 7717777777 <br /> 1. Permit to Operate <br /> 2. Change in Cond. to Operate <br /> 3. Approved Construction A <br /> 4. Written Monitoring Procedures 4r9 I mltkir-6 •'!fes M a ,>� <br /> S. Approved Monitoring System or, <br /> b. Monitoring System Operational I nk I oe I OK QK <br /> 7. Approved Monitoring Frequency K QK <br /> R. Monitoring Records Maintained K <br /> 9. Access Casing Secured <br /> 10. Piping i L O <br /> 11. Inventory Reconciliation <br /> 12. Tank Guaginq AJA A <br /> I INV <br /> 13. Approved Response Plan <br /> 14. Unauthorized Release Occurrence <br /> 15. Sampling <br /> 16. Approved Tank Repels <br /> 17. Unauthorized Releases Reported ! <br /> 18 Safety Hazard <br /> 19. Conditions Abated <br /> Tk74PORARY CIDSUiE <br /> 20. Removal of Residual Materials <br /> 21. Flammable Vapors Removed <br /> 22. Access Locations Sealed <br /> 23. Power Disconnected <br /> 24. Owner/Operator Monitoring - <br /> Pt3V M 3#T CLOSURE <br /> 25. Removal of Residual Materials <br /> 26. Piping <br /> 27. Flanawable Vapors Removed <br /> 28. Unauthorized Release <br /> 29 Sampling - - <br /> 30. Inproper Abandoaunant <br /> TMw marked items represent violations and met be corrected as follows: <br /> I A, a# NI # <br /> aMA , <br /> RECEI <br /> UFY IC <br /> SAN M"A bIN LOCAL HEALTH DISTRI IIMLSP:SP I / <br /> POST OFFICE BOX Zoos �— <br /> STOCKTON. CALIF. 95201 TI <br /> ATTN: ENVIRON. HEALTH o If66- ��8 RECHECK` <br />