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UNDERGROW TANK PROGRAM OFFICIAL IN$' -CTION REPORT <br /> SAN JOAQUIN HEALTH DISTRI46 <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: heli INSPECTION DATE: Z 26 <br /> SITE ADDRESS: CITY/STATE/ZIP <br /> A -3 S Fe i2o/ Ieluerd¢nl�- (,q <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK 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 # <br /> ! _ p7�(/a-O/ PER# ay/a,-C).2- PER# aYl7a--C23 PER # <br /> OGCTIhQ o� yI� EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR I 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 K <br /> MONITORING RECORDS MAINTAINED 15 16 x <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23X 24 x <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 <br /> CONDITIONS ABATED VXX, 37 VA <br /> TEMPORARY TANK CLOSURE H <br /> REMOVAL OF RESIDUAL W43 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <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 55 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST K ONE) FOLLOWS:O"h=-o ve'� a& ;OCXse f. —_C 0 e <br /> s <br /> MAJOR 57 MINOR NO 58 59 <br /> tnconc <br /> VIOL. VIOL ElVIOL❑ <br /> OFFICE: INSP.. /-y RECEIVED BY: <br /> TITLE: _ E yes PHONE: BECK: <br /> HUT-3 ORIGINAL s;88 O <br />