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UNDERGROUND `IK PROGRAM OFFICIAL INSPEC ')N REPORT <br /> • I� JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: F x INSPECTION DATE 1-16 -2t <br /> SITE ADDRESS: d l�T� CITY/STATE/ZIP ��v 0"tj +; <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK "? TANK"' T !cb TANK / <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER a COMPUTER COMPUTER <br /> TYPE F INSPEC ON SITE COMPUTER# NUMBERI�`QV0 NUMBER tr¢o NUMBER(pd a Q NUMBE{2 a <br /> r��y� _ PER# �� PER# dff`f (�' PER # 1 PER# <br /> C'- <br /> EXP.DATP) 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 <t 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 /> UNAUTHORt�ED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED.RELEASES REPORTED 33 34a <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED"! 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS'I_OCAT6NS SEALED 41 42 <br /> POW DISCONNECTED 43 <br /> QY�NE,R�OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS _ <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 59 <br /> MAJVIOLOR ❑ VIOL.MINO ❑ NO <br /> VIOL.❑ <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: PHON . RECK: <br /> HUT-3 OWNER'S COPY 5/88 0M <br />