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UNDERGROU""n TANK PROGRAM OFFICIAL 1NSPP71014 REPORT <br /> SAN JOAQUIN HEALTH DISTRICi,../ <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMESTOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: p INSPECTION DATE. <br /> Ab <br /> SITE ADDRESS: a s�v CITY/STATE/ZIPS <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 /qA)-ol NUMBER NUMBER NUMBER <br /> _ PER# PER # PER# PER# <br /> IjLe' C t,"fal EXP.DATE EXP.DATE EXP,DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR SSS fiL� <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 31 132 A <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 /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 - <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UIZED RELEASE 51 52 <br /> AMPS LING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS TREPRESENT VIOLATIONS AND MUST BE CORRECTED A's <br /> /A <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS— A_�1..[44 <br /> 3r� �c�GQ-U�` r4C S Cc�Lc.2Cc_f <br /> S - <br /> 57 <br /> MAJOR ❑ MINOR � NO 59 <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INSP: Crp� Q RECEIVED BY: <br /> TITLE: £, fJ PHONE:- BECK: <br /> RUT-3 ORIGINAL sea O <br />