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V <br /> UNDERGROUNWANK PROGRAM OFFICIAL INSPECTION REPORT J o P <br /> JOAGUIN HEALTH DISTRICT a" <br /> 1601 E. HAZELTON AVE. <br /> Muol"NAME STOCKTON, CA 95205 MRITY # 3 9 <br /> PHONE NO. 468-3423 <br /> SITE NAME- INSPECTION DATE: <br /> e <br /> SITE ADDRESS: CITY/STATE/ZIP 9s'ZO vl. <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK I TANK ?,- TANKTAW 4f Lf <br /> ORM A AND/OR B SUBMITTED? COMPUTER 1103 COMPUTER COMPUTER3 !COMPUTER 103 <br /> NUMBER s a NUMBER NUMBER ISR <br /> TYPE OF INSPECTION SITE COMPUTER+e PER# U o f PER# S PER# L- �!R• �pco <br /> -- hr4 k 4*oval 6T d/ <br /> EXP.DATE EXP.DA EXP.DATE om <br /> TAW CONIFAves <br /> OPERATIONAL TANK Toa I luny K °� <br /> PERMIT TO OPERATE 1 12 <br /> CHANGE IN CONDITIONS TO OPERATE 3 14 <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 MANIA94ED 15 lie <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 38 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE , , <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 EM <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> MONITORING OWNER/OPERATOR 44 45 <br /> PERMANENT TANK CLOSURESam <br /> REMOVAL OF RESKUAL MATERIALS 46 147 <br /> PIPING 48 149 <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(WAIST MARK ONE) FOLLOWS: (E <br /> K <br /> 58 <br /> MAJOR 57 MINOR NO <br /> VIOL VM <br /> OFFICE: INSP: W RECEIVED BY: <br />