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T UNDERGROUF`r K PROGRAM OFFICIAL INSP"-% N REPORT <br /> AN JOAQUIN HEAQLITH DISTRIC!,.,„ <br /> 1601 E.COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: fiR INSPECTION DATE: <br /> SITE ADDRESS: /5 33 L1nG+/S`ti CITY/STATE/ZIP .5- ,C` /C 1�71,3 <br /> CHANGES SITE/OWNER/PERMIT? YES NO I TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER # %� �9 PER # //� PER # PER# II <br /> EXP.DATE EXP-DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TA 'I � <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 +A <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 V' <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 AN_S <br /> under CHAN rN�, <br /> SAMPLING 29 30 $rdfltld CdntQm� t• �� 1 <br /> APPROVED TANK REPAIRS 31 92 ron Investigalydr�s <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 ? BrUCe Ha <br /> CONDITIONS ABATED 37 (di el)284-1661 <br /> B''ix(415) _! 3732 Ntt. <br /> 7 7 .'. 664 ��Diablo Blvd. Su <br /> TEMPORARY TANK CLOSURE ite 37 <br /> d Yom.Cali 2 <br /> fot'rlia 94549 <br /> REMOVAL OF RFSIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> c <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 /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: /.,h .n� <br /> opo— ._ct �-tCX t'� <br /> S e� n 7� c}' vim_ is <br /> 57 58 59 <br /> MAJOR MINOR NO �-�� --�-" <br /> VIOL. ❑ VIOL. ❑ VIOL. - -- -- ---- --- - - <br /> ()FFI(;E: INSP: �C�f pI O RECEIVED BY: <br /> TITLE: Hi S r PHONE: f/ BECK: - T <br /> ......Ohl <br />