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UNDERGROUN _ NK PROGRAM OFFICIAL INSPECWN REPORT <br /> / NN JOAWN HEALTH DISTRICT <br /> i 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: 1'I K` L� m INSPECTION DATE: <br /> SITE ADDRESS: 1 Q CITY/STATE/ZIP <br /> 1 O� c ( c I S? <br /> CHANGES SITE/OWNER/PERMIT? YES N TANK NK TANK ANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER :NUMBE <br /> MPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER PER <br /> 7I7NC <br /> DATE P.DATE DATE P.DATE <br /> OPERATIONAL TANK TANK CONTEN �, t* <br /> MAJORI MINOR <br /> PERMIT TO OPERATE 1 2 --- <br /> CHANGE IN CONDITIONS TO OPERATE 3 14 1 _ <br /> APPROVED CONSTRUCTION 5 1 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 17 118 <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 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 <br /> r <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 REPRESENTOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR S8 NO 5 <br /> VIOL. ❑ VIOL. LJVIOL <br /> OFFICE: INSP: G��%� j_ RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 0 <br />