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UNDERGROUND `NK PROGRAM OFRCIAL INSPEC" 7N REPORT <br /> a.4N JOAQUIN HEALTH DISTRICT <br /> 1601 E HAZELTON AVE <br /> (IUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO 468-3473 <br /> AME r INSPECTION DATE <br /> I E ADDRESS CITY/STATE/ZIP <br /> r�r�(3ES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> Al %l A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> -(}F INSPECTION SITE COMPUTER 0 <br /> PER 0 /1 r,6 -o i PER # /41c L-c a PER r <br /> !'y- EXP DATE EXP DATE EXP DATE EXP DATE <br /> + _ <br /> )PERATIONAL, TANK <br /> ru�Kco�rretrTs M <br /> MAJOR MtNOR <br /> I I )41 r TO OPERATE 1 2 <br /> IN CONDITIONS TO OPERATE 3 4 _ <br /> Is f ,)VFD CONSTRUCTION 5 6 <br /> if IT f FN MONITORING PROCEDURES 7 8 <br /> r'I'F?OVFD MONITORING SYSTEM 9 10 - -- <br /> +s)NI Ir)rlING SYSTEM 11 120 <br /> -- _-_-- -- <br /> I f r}rlVFD MONITOR FREOUENCY 13 <br /> l(flIT nING RECORDS MAINTAINED 15 <br /> r r I ( ASING SECURED 17 <br /> + Irrr, 19 <br /> 1�11 NTnRY RECONCILIATION 21 22 - - — <br /> �'il' (,AOGING 23 24 ---- — — - <br />,I + IT0VFD RESPONSE PLAN 25 26 <br /> ir}Al IT11(-rIIZED FZELEASE OCCURRENCE 27 28 — <br /> v I r 0%VF D TANK REPAIRS 31 32 <br /> '01Ir)ItIZED RELEASES REPORTED 33 34 • <br /> " I+AZARD 35 38 <br /> "'I)I T uor)-, ABATED 37 ——�- � T---- - <br /> TEMPORARY TANK CLOSURE <br /> ,I MOVAL OF RESIDUAL 38 39 _ <br /> I Ar„tMARI E VAPORS REMOVED 40 — <br /> t f t',LOCATIONS SEALED 41 42 -- - _—_--- — — _--_- <br /> ti F-I l l)I�,CONNECTED 43 <br /> -F R/OPERATOR MONRORING 44 45 <br /> F'FRMANENT TANK CLOSURE •rx}� <br /> I +" )VAI 46 47 <br /> 48 49 <br /> r+ '"A131 E VAPORS REMOVED 50 - ---- — T ---- - ~�- -- — ---- ---- ~ <br /> '1 f s r ralzED RELEASE 51 52 4----- ---- _ - - -- -- -y----- ---_ ---is I+ril, i 53 54 -- <br /> 11 , 11 ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> s Ai STATUS (MUST MARK ONE) FOLLOWS <br /> 57 59 <br /> 10r7 VIOL MINOR VIOL ❑ hr. r _ <br /> INSP RECEIVED BY <br /> TITLE /P< s PHONE RECK <br /> ORIGINAL s Hn <br />