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UNDERGROW-1 TANK PROGRAM OFFICIAL INSP!:TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> Nave 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY #3 <br /> COUNTY NAME '574J PHONE NO. 468-3423 <br /> SITE NAME: INSPECTION DATE: <br /> SITE ADDRESS: CITY/STATE/ZIP S-� C4 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK Se" TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBERAVmA1d NUMBER 3�r� NUMBER 127 O� NUMBER /2/000 <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER#/4A .0S� PER# elf4, 2.6 PER#pnq,94 <br /> —ArAh/ CO z EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK NK 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 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 3/ 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <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 CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 58 59 <br /> MAJOR 57 MINOR NO <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INSP: R D BY:— <br /> y6 fir-3 57i�� <br /> TITLE: 155 <br /> 71Is PHONE: RECK: <br /> HUT-3 ORIGINAL 5/88 0 <br />