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UNDERGROUN -TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO, 468-3423 <br /> SITE NAME: 774Wl )p*V(1 � Cp. 4o7� ��OL INSPECTION DATE: 3 /r/g? <br /> SITE ADDRESS: /3.0 A/ / AvAok CITY/STATE/ZIP 4 9 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK - o TANK - e 2. TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER # NUMBER NUMBER NUMBER NUMBER <br /> x <br /> ovvNl ��/�� 2 PER # PER # PER # PER # <br /> oa " ✓� ) / EXP. DATE - EXP. DATE EXP. DATE EXP. DATE <br /> OPERATIONAL TANK TANK CON NM <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 16 - <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 120 <br /> INVENTORY RECONCILIATION 1 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 et <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 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STA7TUSS (MUST MARK ONE) FOLLOWS: Z <br /> 58 59 <br /> MAJOR 5� MINOR NO ElVIOL. LJ VIOL. VIOL <br /> OFFICE: INSP:4,544,,�, L..jEti, RECEIVED BY: <br /> ',*�qAtp�p <br /> TITLE: �_ (�. s PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 Om <br />