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UNDERGROUNWANK PROGRAM OFFICIAL INSPE$ION REPORT I7 <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # j <br /> PHONE NO. 468-3423 <br /> SITE NAME: �`� 6 F�- �0 d INSPECTION DATE///G �$ <br /> SITE ADDRES : 0 / 5�(7.70ATE/ZIP G/s37 b <br /> CHANGES SITE/OWNER/PERMIT? Yf S NO TANK TANK7 / TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER I COMPUTERZ' A - COMPUTEF;._ _ / COMPUTER <br /> NUMBER NUMBER 1//-94 NUMBER NUMBER <br /> TYPE qF, INSPECTION SITE COMPUTER# PER# D 0 V PER#S O6 U / PER# jg�-a0 a PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTEN s <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 (� r <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 <br /> CONDITIONS ABATED 37 i <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL IqQ 39 <br /> FLAMMABLE VAPORS REMOVED W4445 <br /> ACCESS LOCATIONS SEALED 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: o t ?' <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL ❑ VIOL.❑ <br /> ge <br /> OFFICE: INSP: RECEIV <br /> TITLE: ` f PHON� `' D BECK: <br /> HUT-3 ORIGINAL ( 1, 5/88 ©" <br />