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UNDERGROU TANK PROGRAM OFFICIAL INSP ION REPORT <br /> WAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: 7 Q��n � N 2 �' INSPECTION DATE: <br /> SITE ADDRESS: /� L6 J C//' //��G ��2 J1 �A CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES / NO TANK/� TANKTANK / TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER U 0 COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# <br /> NUMBER NUMBER 90 NUMBER NUMBER <br /> b 4 <br /> 6 � PER # f11Pig PER# Q/ PER # PER # <br /> EXP.DATE V EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR I 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 8 <br /> ... .. ._. _ _ <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 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING <br /> APPROVED TANK REPAIRS <br /> UNAUTHORIZED RELEASES REPORTED 33 134 <br /> SAFETY HAZARD . 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W43 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING � <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 CORRECTEDS <br /> SYSTEM STATUS(MUST MARK ONE)58 5555$$ FOLLOWS: <br /> NIAJOR LJ MINOR NO LN <br /> VIOL. VIOL. VIOL.L�� <br /> OFFICE: FIN /_i RECEIVED BY: <br /> :(// PHONE: BECK: <br /> HUT-3 ORIGINAL - 8/88 O, <br />