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= Vi�,w .GROUND TANK OFFICIAL INSPECTION F.,,W AT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.Sar,Joacuin Street <br /> Mailing Address: P.O.Box 388 <br /> COUNTY NAME Stockton.CA 95P01-0388 COUNTY <br /> 468-3420 <br /> SITE NAME. INSPECTION DATE. <br /> SITE ADDRESS: Cl/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TAWK TANK TAN TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER # PER# PER # PER # <br /> EXP.DATE EXP.DATE EXP.OATE EXP.OATS <br /> OPER TIONAL TANK TANK corrr>Nts % �.- " ' ,� <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 133 1?,a --+--- - — — <br /> SAFETY HAZARD 135 <br /> CONDITIONS ABATED V37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> 41 <br /> ACCESS LOCATIONS SEALED 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE exrse_ <br /> ,�c;',ea�sx <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 154 <br /> IMPROPER ABANDONMENT ISS 156 1 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS i <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS. sOr= �L <br /> i <br /> 57 59 <br /> MAj <br /> 5 <br /> OR MONO <br /> VIOL OR Q VOL❑ <br /> OFFICE: IINSP RECEIVED BY: <br /> v <br /> TITLE: r �� PHONE. I RECK: <br /> ALT-3 'l/"rte-Orcirsl Yannw-Owners Crov 3rnu- --te C-,-,v <br />