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UNDERGROUIN TANK PROGRAMA OFFICII L INS 'lTION REPORT <br /> SAN JOAQUIN HEALTH <br /> 1601 F. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # <br /> COUNTY NAME PHONE NO. 468-3423 <br /> �� �� `� INSPECTION DATE: <br /> FITEAME: ' 71'e <br /> DDRESS: f� (�ytS CITY/ST ll. - � �,� <br /> o , <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK (� <br /> TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER NOMBERER <br /> NUMBER 7 NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# f 7 6 / PER# PER # PER # <br /> EXP.DATE EXP,DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS - .. <br /> OPERATIONAL TANK MAJOR MINOR <br /> PERMIT TO OPERATE <br /> 1 2 _ <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 - <br /> APPROVED CONSTRUCTION <br /> 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM <br /> 9 10 _.._ <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 -MONITORING RECORDS RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> — - <br /> PIPING <br /> 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> 23 24 <br /> TANK GAUGING <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 v� <br /> SAMPLING 29 30 <br /> 32 <br /> APPROVED TANK REPAIRS 31 _ - <br /> UNAUTHORIZED RELEASES REPORTED 33 34 — -- -- � -" <br /> 3 _._. <br /> SAFETY HAZARD 35 6 <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 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING <br /> 48 49 <br /> _ <br /> FLAMMABLE VAPORS REMOVED 50 w.. � <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54IMPROPER ABANDONMENT ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS DUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 ` <br /> VIOL. ❑ VIOL. ❑ VIOL <br /> OFFICE: INSP: o RECEIVED BY: <br /> TITLE: <br /> PHONE: rREG6K: <br /> alae C <br /> HUT-3 ORIGINAL <br />