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ORT <br /> r 'NDERGROU TANK' <br /> OFFICIAL-INSP TION REP <br /> r =w.0 XN.JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTAO�N o5 COUNTY # <br /> STOCKTON, C <br /> PHONE NO. 46873423 <br /> San.TCt u INSPECTION DATE: <br /> CITY/STATE/ZIP J� <br /> SS: TANK TANK <br /> :ADDRE a(o SO-o /` 0 W' �� TANK COMPUTER <br /> ? YES NO TANK COMPUTER COMPUTER NUMBER <br /> CHANGES SITE/OWNER/PERMIT. COMPUTER NUMBER NUMBER <br /> NUMBER l q 3c�—O I PER# PER# <br />. FORM A AND/OR B SUBMITTED'? � PER# PER# EXP"DATE <br /> SITE COMPUTER# EXP.DATE EXP.DATE . <br /> TYPE OF INSPECTION 9 �� EXp•DATE' <br /> f / <br /> TANK CONTENTS ig <br /> OPERATIONAL.'TANK Ma,iOR MwoR <br /> 1 2 <br /> PERMIT-To_OPERATE 3 4 <br /> CHANGE IN CONDITIONS TO OPERATE 5 6 <br /> APPROVED CONSTRUCTION 7 8 <br /> WRITTEN MONITORING PROCEDURES 9 10 <br /> APPROVED MONITORING SYSTEM 11 12 " <br /> MONITORING SYSTEM 13 14 <br /> APPROVED MONITOR FREQUENCY 15 16 <br /> MONITORING RECORDS MAINTAINED 17 18 <br /> ACCESS CASING SECURED 19. 20 <br /> PIPING 21 22 <br /> INVENTORY RECONCILIATION 23 24 <br /> TANK GAUGING 25 26 <br /> APPROVED RESPONSE PLAN <br /> 7 28 <br /> UNAUTHORIZED RELEASE OCCURRENCE 29 3030 <br /> SAMPLING 31 32 <br /> APPROVED TANK REPAIRS <br /> UNAUTHORIZED RELEASES REPORTED 5 36 <br /> SAFETY HAZARD 37 <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE _ �.---- <br /> 38 . 39 <br /> REMOVAL OF RESIDUAL 40 <br /> FLAMMABLE VAPORS REMOVED 41 42 <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING <br /> 44 <br /> PERMANENT TANK CLOSURE <br /> 46 47 <br /> REMOVAL OF RESIDUAL MATERI48 ALS 49 <br /> PIPING 50 <br /> FLAMMABLE VAPORS REMOVED 51 52 <br /> U ZED RELEASE 53 54 <br /> AM LING 55 56 <br /> THE MAREPRESENT_VIOLATIONS AND MUST BE CORRECTED AS <br /> IMPROPER ABANDONMENT KED ITEMS R <br /> I <br /> ' FOLLOWS: <br /> I <br /> SYSTEM STATUS(MUST MARK ONE) I <br /> . <br /> 57 MINOR 58 NO 59 l <br /> MAJOR ❑ VIOL_ ❑ VIOL_ <br /> VIOL. <br /> RECEIVED BY: <br /> INSP: /'D� <br /> OFFICE: <br /> r� RECK: <br /> : 3T G <br /> TITLE: C. f�; S— PHONE'. <br /> (� � 5188 <br /> ORIGINAL <br /> HUT-3 <br />