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UNDERGROU�__ - <br /> ANK PROGRAM OFFICIAL INSP� ONREPORT. <br /> \oWN JOAQUIN HEALTH DISTRICT ' <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMESTOCKTON;CA 95205 If COUNTY # 3?PHONE NO:468-3423 <br /> SITE NAME: =' <br /> r. <br /> INSPECTION DATE: <br /> SITE ADDRESS: S� J�cZG•� CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? < ES NO TANK TANK TANKTANK <br /> FORM A AND/OR B SUBMITTED? _. y"PS_ COMPUTER COMPUTER - COMPUTER ,~- COMPUTER <br /> TYPE OF INSPECTIONSITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER# PER# PER# PER# <br /> EXP.DATE EXP.DATE i EXP DATE EXP DATE f <br /> OPERATIONAL TANK TANK CONTENTS rwel i"NEW <br /> WEIN"ME, <br /> " .: fi � Yin <br /> MAJOR MINOR " <br /> PERMIT TO 09.10 <br /> 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 1 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22. <br /> TANK GAUGING 23 24' I <br /> APPROVED RESPONSE PLAN 25 26' I <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 X, <br /> APPROVED TANK REPAIRS 31 32 f <br /> UNAUTHORIZED RELEASES REPORTED 33 34 I <br /> SAFETY HAZARD 135 136� � <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 I <br /> OWNER/OPERATOR MONITORING 44 145 . <br /> I <br /> " PERMANENT TANK CLOSURE � � M <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 T <br /> PIPING 48 49: ;I <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52; - <br /> SAMPLING 53 54 - . <br /> IMPROPER ABANDONMENT 55 56; I, <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE} <br /> FOLLOWS: O 7+s! 411vel57 r <br /> MAJOR MINOR � NO $ ?j �c� .. ..I <br /> VIOL. VIOL VIOL <br /> OFFICE: <br /> INSP RECEIVED BY <br /> TITLE: S: PHONE: BECK: t <br /> - i - I <br /> 1-[UT-3 ORIGINAL 5/88 <br />