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' UNDERGROUN'TANK PROGRAM OFFICIAL INSPE"TION REPORT <br /> i AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: S V'\A 1.1" A INSPECTION DATE: <br /> ,� ll —O <br /> SITE ADDRESS: �l ^ J S 7' CITY/STATE/ZIP p(,� TG �%� � 3 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK / TANK _ TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTE COMPUTE COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER # <br /> /1 /r 1 l 7 PER # PER # PER # PER # <br /> Q(��(,U�(A �hS• 7,� EXP DATE EXP DATE EXP.DATE EXP DATE <br /> OPERATIONAL TANK TANK CONT Ts <br /> MAJOR AINOR <br /> PERMIT TO OPERATE 1 2 V ` <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 . '6 <br /> WRITTEN MONITORING PROCEDURES 7-r 8 V <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 V 14 <br /> MONITORING RECORDS MAINTAINED 15 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 /> 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 35 <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 _ <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: S 52- U 2 <br /> 59 <br /> MAJOR 57 MINOR o NO - -.- - <br /> VIOL. VIOL. VIOL. <br /> El <br /> OFFICE: INSP: R ED BY: <br /> ri A <br /> TITLE: PHON / 7 ECK: <br /> HUT-3 ORIGINAL 5/88 0 <br />