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A _ . <br /> UNDERGROUND*K PROGRAM OFFICIAL INSPECN REPORT <br /> JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> i, UNTY NAME STOCKTON, CA 95205 COUNTY # c <br /> PHONE NO. 468-3423 <br /> SITE NAME: xAc _ / <br /> INSPECTION DATE: 1-16 <br /> _ <br /> � t <br /> SITE ADDRESS: L1 �/+ /`jNA P,4 CITY/STATE/ZIP S?L�Lc��� `+ q� 0 G <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK`' ' ` TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBERI� �a� NUMBER j0a `� NUMBER(04). NUMBE <br /> TYPE OF INSPECTION SITE COMPUTER# / y2'ex, <br /> 7eS <br /> _ PER# t PER# s UN ✓ PER # 7 PER # UN� <br /> U Al L� S EXP.DAT 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 X 16 x T <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 35 36 — <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 /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 ME <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 /> MAJOR MINOR NO ---- <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: ,moi RECEIVED BY: <br /> TITLE: PHONE: 6.? •� BECK: <br /> HUT-3 ORIGINAL 5/88 �" <br />