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UNDERGRO* TANK PROGRAM OFFICIAL INSPWTION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME l STOCKTON, CA 95205 COUNTY # 3 <br /> PHONE NO. 468-3423 <br /> SITE NAME: �A /Q, d C j INSPECTION DATE:!� <br /> SITE ADDRESS: Q T CITY/STATE/ZIP / 6j4-l/Zr376 <br /> CHANGES SITE/OWNER/PERMIT? YES O TANK TANK 2 TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTED/�/ COMPUTER G Qpt COMPUTE COMPUTER <br /> TNUMBER V ` NUMBER U 47 NUMBER NUMBER <br /> TYPE O NSPECTION SITE COMPUTER# <br /> PER# BOPgL PER# fQQO i PER# � PER# <br /> �frne EXP.ITT�E EXP.DATE dj EXP.DA EXP:DATE <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 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 31 32 <br /> UNAUTHORIZED RELEASES REPORTED M37 <br /> SAFETY HAZARDCONDITIONS ABATED <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 MARKE TEMS REPRESENT V�S AND MUST BE C_ ORREC D AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> CCt.r�.¢Q <br /> 58 <br /> MAJOR 57 MINOR NO 59 �� <br /> VIOL. ❑ VIOL. VIOL❑ <br /> OFFICE: INSP:/ RECEIVED BY: <br /> TITLE: PHONE: RECK:� <br /> X536- yYav <br /> HUT-3 ORIGINAL siae & <br />