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UR AGROUND TANK OFFICIAL INSPECTION RL AT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> Mailing Address: P.O.Box 388 <br /> COUNTY NAME Stockton, <br /> 468-3420 <br /> CA 01-0388 COUNTY # 3 <br /> SITE NAME. ttir r, INSPECTION DATE:C� 7 2 <br /> SITE ADDRESS: /- 6J l _ CITY/STATE/ZIP <br /> wa�c- <br /> CHANGES SITE/OWNER/PERMIT? YE NO TANK TANK 2i TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF ISPECTION SITE COMPUTER# NUMBER NUMBER p NUMBER Lf NUMBER <br /> PER# PER# PER# y PER# <br /> e- 4 J EXP"DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS LAff <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 I <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 l <br /> CONDITIONS ABATED <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 /> UNAUTHORIZED RELEASE 51 r56 ' <br /> SAMPLING 53 <br /> IMPROPER ABANDONMENT 55 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUS ARK ONE) FOLLOWS: <br /> 57 58 59 — — ---- <br /> MAJOR <br /> NO <br /> VIOL. VIOL. <br /> R ❑ VOL.❑ <br /> OFFICE: INSP: � RECEIVED BY: <br /> � G �'3y�4 � � <br /> TITLE:s r, PHONE: vRECK: <br /> F,- 3 — 17 /s <br /> HUT-3 White-Original Yellow-Owner's Copy Pink-File Copy 5/88 (D M <br />