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- <br /> UNDERGROUP '-TANK PROGRAM OFFICIAL INSP' "TION REPORT <br /> USAN JOAQUIN HEALTH DISTRICT' <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95245 <br /> COUNTY NAME COUNTY # 3 <br /> �(.� �t1CG ��... PHONE NO. 468-3423 <br /> SITE NAME: i mac. hOs l��i`r�e��-, INSPECTION DATE: 21-11 <br /> / / 3 <br /> SITE ADDRESS: ` t.G[! l��CITY/STATE/ZIP ao-yl/ � 53� <br /> ` 7LVo L. <br /> CHANGES SITE/OWNER/PERMIT? YES NOVTANK 0 TANK 0,;I— TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> rg <br /> EXP.DATE' EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIO AL TA TANK coNTeNrs <br /> -. <br /> ilNMAJOR MINOR <br /> PERMIT TO OPERATE 1 2 P <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 T <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 33 <br /> SAFETY HAZARD 35 36 _ 1� <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 /> UNAUTHORIZED RELEASE 51 52 �• <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR X57 MINOR 58 NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: S RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> 4L <br /> HUT-3 ORIGINAL Slee OM <br />