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UNDERGROW' TAN PROGRAM N HEALTH I AL STRlCPF^TION REPORT <br /> ,�J <br /> 1601 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 COUNTY # " <br /> COUNTY NAME PHONE NO. 468-3423 <br /> SITE NAME: /' INSPECTION DATE: <br /> ... f(.ti <br /> SITE ADDRESS: { CITY/STATE/ZIP L.-64 <br /> f <br /> 9r/ LU, iE✓ i <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK Q� TANK OZ_ TANK 03 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYP OF INSPECTION SITE COMPUTER # PER # PER # PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP_DATE <br /> _...e <br /> OPERATIONAL TANK TANK CONTENTS <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 <br /> INVENTORY RECONCILIATION 21 22 _ <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 _ <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 128 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 139 <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 46 147 <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 MARKE04TEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: �� 7s <br /> 57 58 <br /> MAJOR MINOR NO 51_I <br /> VIOL. VIOL. VIOL. <br /> OFFICE:`` _ INSP RECEIVED BY: <br /> TITLE: /r—f ds, PHONE: BECK: <br /> HUT-3 OWNER'S COPY s as OM <br />