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UNDERGROUANJOAQUIN HEALTH D STRICION REPORT <br /> 1601 E. HAZELTON AVE. <br /> (� STOCKTON, CA 95205 COUNTY # P` tS <br /> J <br /> COUNTY NAME aY1 �0 a PHONE NO. 468-3423 <br /> SITE NAME: INSPECTION DATE: <br /> s bu v' - Des M e _ <br /> SITE ADDRESS: ��, CITY/STATE/ZIP . � (� <br /> J3 <br /> TANK TANK 03 <br /> TANK <br /> CHANGES SITE/OWNER/PERMIT? S NO TANK Q tJ s2- <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER �` COMPUTER COMPUTER <br /> NUMBER /� G NUMBER t��✓ NUMBER ,(� NUMBER <br /> TYPE OF INSPECTION SITE CIOM,rP_U(T�ER# PER # G PER# PER # PER# <br /> r(�'� 1`I {�-�- { `j EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> 11 .1 <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR 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 /> APPROVED MONITORING SYSTEM 9 10 - -- <br /> MONITORING SYSTEM ill 112 <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 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> - - _ <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 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 CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> ,57 MAJOR MINOR � NO <br /> VIOL. LI VIOL. VIOL59 <br /> OFFICE: INSP: a2fia'- ► S �0 u1Y` -des <br /> TITLE: ,—1 PH RE K: <br /> ZS4WiWlll" 1 <br /> = 5188 0 N, <br /> HUT-3 ORIGINAL <br />