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UNDERGROUI TANK PROGRAM OFFICIAL INSP TION REPORT <br /> ,,�SAN JOAQUIN HEALTH DISTRICT-- <br /> 1601 E.HAZELTON AVE. <br /> STOCKTON. CA 95205 COUNTY # 3 <br /> COUNTY NAME PHONE NO,468-3423 <br /> SITE NAME: Bhos' INSPECTI�ON DA�TE: -�4�13 <br /> SITE ADDRESS: 1.20 CITY/STATE/ZIP <br /> SITE/OWNER/PERMIT? YES NO NK TAN< ) TANK TANK <br /> CHANG OMPUTER COMPUTER COMPUTER COMPUTER <br /> FORM A AND/OR B SUBMITTED? NUMBER NUMBER NUMBER NumSER <br /> TYPE OF INSPECTIO MPUTER PER.0 PER PER PER 4 <br /> ExE_DATE EXP.DAT.E EXP.DATE EX P.DATE <br /> TANKCONTENIS <br /> OPERAnO ALTA M OR MtHOR <br /> PERMIT TO OPERATE 1 2 ........ <br /> CHANGE IN CONDITIONS TO OPERATE a 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES <br /> APPROVED MONITORING SYSTEM 9 lo <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 /> NCE 27 28 <br /> UNAUTHORIZED RELEASE OCCURFIF -- <br /> SAMPLING Z9-30 <br /> APPROVED TANK REPAIRS 31 n2 <br /> UNAUTHORIZED RELEASES REPORTED 34 <br /> 30 <br /> SAFETY HAZARD <br /> 'CONDITIONS ABATED 37=,- <br /> TEMPORARY TANK CLOSURE <br /> 31J <br /> REMOVAL OF RESIDUAL <br /> PORS REMOVED <br /> FLAMMABLE VA <br /> ACCESS LOCATIONS SEALED 41 42 <br /> TED 43 <br /> POWER DISCONNEC m <br /> OWNER/oF2F;ArOR MONITORING 144 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 76 �7 ....... <br /> PIPING 48 49 ....... <br /> FLAMMABLE VAPORS REMOVED -70 <br /> UNAUTHORIZED RELEASE 51 52 <br /> 1 54 <br /> SAMPLING <br /> ------------- <br /> IMPROPER ABANDONMENT <br /> T 1:MARKED ITEMS REPRESENT WOLATIONS AND MUST BE CORRECTED AS <br /> H <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 7 513 59 <br /> MAJOR MiNIOREj NO <br /> VIOL VIOL. VlO-LQ--------- <br /> EIVED BY: <br /> --,FFICE: INSP: Z <br /> TITLE., PHONE: <br /> Hi 17-3 <br />