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UNUERGRO AITWN l( PROGRAM <br /> HEALTH Q STRICTON REPORT <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # <br /> COUNTY NAIVE PHONE NO. 468-3423 <br /> SITE NAME: INSPECTION DATE: r?jll- <br /> SITE ADDRESS: lTY/STATE/ZIP - � <br /> CHANGES SITE/OWNER/PERMIT=YESNO TANj TANKTANK TANK <br /> FARM AAND/OR $ SUBMITTED? COMPUTER_ COMPUTER COMPUTER COMPUTER <br /> NUMBER -0 NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP DATE <br /> TANK CONTENTS .� <br /> OPERATIONAL TANK —MA—J-00' 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 a <br /> APPROVED MONITORING SYSTEM 9 10 --- -- <br /> MONITORING SYSTEM 11 12 --- <br /> APPROVED MONITOR FREQUENCY 13 14 --- - <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 3536 <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 [45EOWNER/OPERATOR MONITORING 44 <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 EMS REPRESENT VIOLATION AND MU T BE CORRECTED <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: ` <br /> MAJOR 57 MINOR 58 NO 59 <br /> VTOL VIOL ❑ VIOL.❑ — <br /> OFFICE: INS RECEIVED <br /> RECEIVED <br /> R CK: <br /> b <br /> 5/s® <br /> HUT-3 ORIGINAL <br />