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( UNDERGROUND K PROGRAM OFFICIAL INSPE N REPORT �� 1 d <br /> I JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> CUUNfY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> 'ITE NAME: G,. bINSPECTION DATE: <br /> 3ITEADDRESS: 5�Q 'f' /Fj/G[�/v7Q/ CITY/STATE/ZIP —jif4 C/j X376 <br /> ;HANGES SITE/OWNER/PERMIT? YES NO TANK TANK �� TANK TANK <br /> -ORM A AND/OR B SUBMITTED? COMPUTER end COMPUTER COMPUTE _ / COMPUTER <br /> TYPE OF INSP�E�C/TIONpSITE COMPUTER# NUMBERVI�.�j�-• NUMBEPER PER -jVI- NUMBER /P.5C// NUMBER <br /> EXP. E 'EXP. <br /> EXP.DA E 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 33 34 <br /> SAFETY HAZARD 3536 <br /> CONDITIONS ABATED 37 <br /> 77, <br /> TEMPORARY TANK CLOSURE aB <br /> REMOVAL OF RESIDUAL I 38 139 <br /> FLAMMABLE VAPORS REMOVED P43 <br /> ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> 7 <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 /> MAJOR '57 MINOR 58 NO 59 <br /> VIOL. Ibl VIOL. LiVIOL.❑ <br /> =FICE: INS7 _ //� y� RECEIVED BY: <br /> TITLE: /���/ J HONE: 17 i7 _l <br /> .3 ORIGINAL 5/88 ©, <br />