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UNDERGROUND TANK PROGRAM OFFICIAL INSPEC-'7N REPORT <br />,N JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: �e-DIt <br />/G� ,;(i jUo INSPECTION DATE: <br />SITE ADDRESS: -7 7S--- <br />5 <br />h <br />ITY/STATE/ZIP / �' f- 7,61 <br />� � <br />f'�"T <br />/ <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />NO <br />TANK -7 <br />-TA NKTANK <br />Cl <br />TANK, <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />NUMBER/C <br />PER # <br />COMPUTE <br />NUMBE (}(f�(,iQ <br />PER # � +� <br />COMPUTER <br />NUMBER/Ccwo <br />PER # <br />OMPU� <br />MBE <br />PER #y <br />TYPE OF INSPECTION <br />SITE COM/PUUTEE/R� # <br />Sy'r <br />u <br />V t <br />L` <br />V L <br />/ /�J <br />/ V <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />EXP. DAT <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 ~ <br />_ <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35 <br />136 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />ME <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS ANDMUST BE CORRECTED AS r <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOW <br />, ne. <br />57 58 <br />59 <br />MAJORMINOR NO <br />E:] ❑ <br />VIOL. VIOL. VIOL. <br />OFFICE: <br />INSP: <br />RECEI Y: j <br />PHO <br />BECK: <br />TITLE: FS <br />HUT -3 ORIGINAL Sias O' <br />