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UNDERGROU• ..,TANK PROGRAM OFFICIAL INSP CTION REPORT <br /> ;AN JOAQUIN HEALTH DISTRICT(- <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME ( STOCKTON, CA 95205 COUNTY # ?j l <br /> �G+U SIN PHONE NO. 468-3423 <br /> SITE NAME: �, + INSPECTION DATE: 7119/99 <br /> ! G+� <br /> SITE ADDRESS: &g� k� CITY/STATE/ZIP 5kkbN C,4' <br /> CHANGES SITE/OWNER/PERMIT? INO TANK TANK TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> a-S' I 0 EXP.DATE EXP.DATE EXP.DATE _ EXP.DATE <br /> TANK CONTENTS ' <br /> OPERATIONAL TANK <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 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 /> F <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 R <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 163 154 <br /> IMPROPER ABANDONMENT 155 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) Na U/OrGt fS'IwS FOLLOWS: MAZ/ . 0 6w& <br /> 57 / 58 59 <br /> OOR ❑ MINOR NO OleVIOL ❑ VIOL.❑ r<[eAj I* _ � <br /> OFFICE: INSP, /_ _ /JAN RECEIVED BY: <br /> TITLE: PHONE. RECK. <br /> HUT-3 ORIGINALor <br />