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UNDERGROV 7 T' X PROGRAM OFFICIAL INSI -Tl' 'I REPORT <br /> S JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: `� INSPECTION DATE. 9/7 <br /> SITE ADDRESS: l9t�r CITY/STATE/ZIP &Q tiA <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> �� /' ✓ T/ PER# ZY11-0 J PER# 'ZY?I-G PER # PER# <br /> EXP.DATE EXP.DATE' EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <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 /> 70 <br /> INVENTORY RECONCILIATION 21 22 0 �Gr - <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 33 134 - - -- — - -. _ _ ___- .. --• _ <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 /> P NENT TANK CL SURE <br /> REMOVAL OFR LS 46 47 <br /> P4PING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 FEWIN <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: C D[7U <br /> 7�nlc Ct9 vL S <br /> MAJOR 57 MINOR 58 NO <br /> VIOL. ❑ VIOL. ❑ VIOL <br /> OFFICE: INSP: el RECEIVED BY: <br /> TITLE: RE.-1.5 PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 �" <br />