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UNDERGROUI -TANK PROGRAM OFFICIAL INSzP7r )N REPORT <br /> V JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # 2� <br /> PHONE NO. 468-3423 ,i <br /> SITE NAME: %� <� L lP INSPECTION DATE: <br /> SITE ADDRESS: Q!/ p/ ByfS�l�l$s �p✓v� ITS$TATE/Z � 64 <br /> CHANGES SITE/OWN ER/PERMIT? YES NO TANK I TANK ' TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTERCOMPUTER COMPUTER COMPUTER <br /> TYPE OF PEC ION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> u > ER PER# utJ ER PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS a <br /> RAM <br /> " 4 1ev <br /> MAJOR MINOR . °1 <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 u ; <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 'I <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 '4 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 120 <br /> INVENTORY RECONCILIATION 21 <br /> TANK GAUGING 23 24 r <br /> APPROVED RESPONSE PLAN 25 26 ;! _ <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 :7 <br /> SAMPLING 29 30 �— Q --- -- <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD35 36 - :l <br /> CONDITIONS ABATED 37 - --�—�_— _— ,I ------ --�y------- ---- <br /> II <br /> TEMPORARY TANK CLOSURE <br /> xz'U" sr. <br /> REMOVAL OF RESIDUAL W43 <br /> FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> '.l <br /> PERMANENT TANK CLOSURE Y y %ar6 ''115 xp 100f- <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 !I <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 i! <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS L <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: "S Q I I co O F 58 4g, <br /> {... <br /> LnG� 0. s <br /> MAJOR 7 MINOR NO 59 I v1i W <br /> VIOL VIOL ❑ VIOL❑ <br /> } <br /> OFFICE: FNSLP / i RECEIV B : <br /> Xd q�j PHONE: BECK: <br /> HUT-3 ORIGINAL I siaa O <br />