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if r Z � <br /> UNDERGROU"' ANK PROGRAM OFFICIAL INSP,F l6N REPORT <br /> :. <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZECTON AVE. 1� - 1 <br /> COUNTY NAME STOCKTON, CA 95205 Ib COUNTY #3f JI <br /> -PHONE NO. 468-3423 <br /> SITE NAME: si '? <br /> l2 r�-�1� S�� �Car ��; �p�iC."T. i� � •' .,; INSPECTION DATE: <br /> SITE ADDRESS: 7 CIT�/STATE/ZIP <br /> hezy, co <br /> CHANGES SITE/OWNER/PERMIT? YES NO . TANKTANK I TANK TANK <br /> FORM A.AND/OR B SUBMITTED? COMPUTEr­ COMPUTER p COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER.. NUMBER <br /> TYPE OF INSPE MON. SITE COMPUTER# <br /> PER# I: PER# PER#. PER# <br /> . . <br /> EXP.DATE EXP.DATE I� EXP.BATE. _ EXP.BATE " <br /> OPERATIONAL.TANK - <br /> iANK-CONTENTS - - <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 f i <br /> CHANGE 1N CONDITIONS TO OPERATE 3 4 ; <br /> APPROVED CONSTRUCTION ">- -5 6 <br /> WRITTEN MONTORING'PROCEDURES 7 . 8 . <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM .. 11 - 12 I <br /> APPROVED MONITOR FREQUENCY 13 14 } ;j <br /> MONITORING RECORDS MAINTAINED 15 113 <br /> -ACCESS CASING SECURED 17 18 11' <br /> - x <br /> PIPING... 19 20 <br /> INVENTORY RECONCILIATION. 21 22 i} I <br /> -TANK GAUGING_ 23 24. II <br /> :APPROVED RESPONSE PLAN. 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING - - 29 30. i I <br /> APPROVED TANK REPAIRS 31 32 Ir <br /> UNAUTHORIZED RELEASES REPORTED 33 34 - <br /> SAFETY HAZARD 35 36 : sp <br /> CONDITIONS ABATED:: 37 i <br /> 4 ; <br /> TEMPORARY TANK'CLOSURE , <br /> REMOVAL OF RESIDUAL . 38 39 y e r <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED 41 . 42 li <br /> POWER DISCONNECTED °_ 43 _ ;:" ip j[ <br /> OWNER/OPERATOR MONITORING 44 45 Al <br /> '!-,-V_01 <br /> =PERMANENT TANK CLOSURE - Y AAm <br /> xht <br /> �� ' <br /> REMOVAL OF RESIDUAL:MATERIALS 46 47.- <br /> PIPING. <br /> 7 PIPING. 48 "- 49 1,= <br /> FLAMMABLE VAPORS REMOVED: 50 <br /> UNAUTHORIZED RELEASE 51 ;, 52 1 <br /> SAMPLING _ 53 54: i <br /> IMPROPER ABANDONMENT' j 55 56 <br /> THE MARKED ITEMS REPRES VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> z ; <br /> FOLLOWS. <br /> MAJOR 57 MINOR NO <br /> -_ ...VIOL ❑ VIOL ❑. .. VIOL" <br /> OFFICE: INSP: s RECEIVED BY: <br /> „ TITLE: .' PHONE: ` - :. HECK, <br /> *`HLIT 3ORiG11VAL i� rise .Oµ <br />