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UNDERGROU{. TANK PROGRAM OFFICIAL. INSP 1 TION REPORT <br /> u , SAN JOAOUIN HEALTH DISTRICT <br /> 1841 E. HAZELTOIU AVE. <br /> C UME 5TOCKTON, CA 85205 COUNTY # <br /> Fd0lf� PHONE NO. 408-3423 <br /> `7'NAME: INSPECTION DATE. <br /> SITE ADDRESS; 7 � ,1� CITY/STAT i <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK ! TANK TANK TANS <br /> FORM A AND/OR B SUBMITTED? COMPUT R COMPUTER OMPUTEE COMPUTED <br /> TYPE OF INSPECTION SITE COMPUTER* NUMBER S`QUO� r NUMI3ER5–Lr– _P NUMBER 1 S Q NUMBER <br /> PER # PER # - g,4401 "d PER# Q1r-re-•( PER+ <br /> / EXP.DATt EXP.DA EXP:{TATE EXP, E <br /> OPERATIONAL TANK TANK CCOJ?ENT9 <br /> ,II MAJCR I MINOR : <br /> PERMIF.TOOPERATE 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 1Q K <br /> i <br /> .AX3NfTCRING SYSTEM 11 12 <br /> 40PROVED MONITOR FREQUENCY 1".L4 <br /> _ --._ _—,- <br /> ": MONITORING RECORDS MAINTAINED 16 16 _ <br /> ACCESS CASING SECURED 17 116 <br /> F P1t*INC3 10 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 I <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> PROVED TANK REPAIRS 31 32 <br /> _,AUTHOR;ZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 135 36 <br /> CONDITIONS ABATED 37 <br /> F <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 36 39 <br /> FLAMMABLE VAPORS-REMOVED 40 <br /> *= ACCtSS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 " <br /> OWNER.'OPERATOR MONITORING 44 145 <br /> PERMANENT TANK CLOSURE <br /> 'REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> I �THQRk2ED RELEASE 51 fit – <br /> SAMPUNG 53 <br /> IMPROPER ABANDONMENT 155 5G <br /> THE MARkEb ITEMS rEPRESENT VIOLATIONS AN13 MUST BE CORRECTED AS <br /> . SYSTEM STA US iMuv MARK GNE) FOLI, Wg: <br /> MAJOR 57 MINOR NO 36 59 <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> F OFFICE., INSP: RECEIVED BY: <br /> F TITLE: fyl PHONE: FECK' <br /> I t' ur--3 OWNER'S COPY �`� O <br />