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UNDERGROUr--" TANK PROGRAM OFFICIAL INSPr7-TION REPORT_ <br /> SAN JOAQUIN HEALTH DISTRICT <br /> %W/ 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 <br /> COUNTY NAME COUNTY # <br /> S PHONE NO. 468-3423 <br /> SITE NAME: C- /]_ INSPECTION DATE: <br /> SITE ADDRESS: C CITY/STATE/ZIP <br /> v <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> ORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUT <br /> TYPE OF INSPECTIONNUMBER51JP- U•Z• NUMBER PCG. NUMBER O L. NUMBER 57€ <br /> PER# PER # PER# PER# dot�' <br /> SITE COMPUTER# <br /> 13 Q EXP.DATE EXP.DATE EXP.DATE 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 135 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 _ <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING4$ 49 <br /> FLAMMABLE VAPORS REMOVED 50 — <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 155 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:-5� -7_ C6 ��]�401/�� <br /> 57 58 9 <br /> MAJOR <br /> VIOL. ❑ MVIOLINOR ❑ NO <br /> . VIOL. <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE�i// PHONE: BECK: A <br /> HUT--q OF <br />