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UNDERGROI" J TANK PROGRAM OFFICIAL INSP"CTION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC` <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 <br /> PHONE NO. 468-3423 COUNTY # <br /> SITE NAME: -� J co \ INSPECTION DATE: .93 <br /> SITE ADDRESS: ;)Li 3 I F` M r ; oS�1 CITY/STATE/ZIP c k\ <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK y TANK) TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER 3 COMPUTER COMPUTER COMPUTER <br /> TYOF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> l vi c-- <br /> 1 PER# PER# PER# PER# <br /> �y EXP.DATE- EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS c <br /> MAJOR MINOR '�k,��';'s <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 <br /> __T.M.._._ � __...... <br /> WRITTEN MONITORING PROCEDURES 7 <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 /> ... _.v..__.. <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 133 134 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 146 147 <br /> PIPING 48t54 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 <br /> SAMPUNG 53IMPROPER ABANDONMENT 55 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> C <br /> MAJOR 5759 <br /> MINOR 58 NO <br /> VIOL. ❑ VIOL VIOL.❑ <br /> OFFICE: INSP: RECEIVED <br /> TITLE: PH IE: BECK: <br /> HUT-3 ORIGINAL 5/M 0 <br />