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UNDERGROUND TAN ROGRAM OFFICIAL—INSPEN 'REPORT <br /> ,c„ SANJJOAQUIN LOCAL"HEA LTH DISTRICT _ <br /> SITE`-NAME INSP DATE: g <br /> c Port arm ;t � .. :9S 7 <br /> SITE ADDRESSa C/5/L ` <br /> CHANGES SITE/OWNER/OPER ? TANK TANKTAMC TANK <br /> YES NO M.F.R. SUBMIT. IDM - ID � ID � k_',_� ID r ; <br /> SITE COMP. M E OF INSP - PER M M iP PFR .g <br /> PER <br /> Fla? DATE EXP DATE 1,.. EXP DATE EXP DATE160 - <br /> OFxZATIOkAL vIOC ATIONS " _ i1 <br /> 1. [permit to Operate <br /> 2. Change in Cond. to Operate j <br /> 3. Approved Construction <br /> 4. Written Monitoring Procedures M' <br /> S. Approved Monitoring System I! <br /> b. Monitoring System Operational <br /> 7. Approved Monitoring greQue114'y - <br /> 8. Monitoring Records Maintained 0 <br /> 9. Access Casing Secured iM <br /> 10. Piping - IM <br /> 11. Inventory Reconciliation <br /> 12. Tank Guaginq <br /> 13. Approved Response Plan !k <br /> 14. Unauthorized Release Occurrence :; M. <br /> 15. Sampling <br /> 16. Approved Tank Repairs <br /> 17. Unauthorized Releasee Reported <br /> 18 Safety Hazard <br /> 19. Conditions Abated <br /> h IM <br /> T01PORAW CLOSURE II <br /> 20. Rwwval of Residual Materials ! <br /> 21. Flammable Vapors Removed <br /> 22. Access Locations Sealed M <br /> 23. Power Disconnected k !M <br /> 24. Owner/Operator Monitorings I� <br /> i <br /> 25. Removal of Residual Materials 1 T <br /> it <br /> 26. Piping Ip <br /> ZZ <br /> 27. Flammable Vapors Removed.... <br /> 28. Unauthorized Release <br /> 29 Sampiing <br /> 30. Improper Abandonment <br /> h <br /> The rked itwns represent violatI ■ and must be corrected as follows. <br /> a — e of I Sam ]ice a �-V are otok LiLls <br /> Ves "o n <br /> Urei <br /> ve <br /> CIS <br /> i! <br /> CWF1C MSP: RECEI <br /> SAN JDA AIN LOCAL HEALTH dISTRI01 <br /> POST OFFICE BOX 2009 <br /> STOCKTON. CALIF, 9520i _ JPECI�ECX: <br /> ATTN: ENVIRON. HEALTH 2 Y66-67F sI <br />