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UIN oERGROUND TANK OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> Melling Address: P.O.Box 388 <br /> COUNTY NAME Stockton,CA 95201.0388 <br /> 468-3420 COUNTY # <br /> SITE NAME: �r1 f/1 INSPECTION DATE: <br /> � V 1..• i <br /> SITE ADDRESS: G; S f— �G J CITY/STATE/ZIP �/9 9,5CHANGES SITE/OWNER//PERMIT? ' YES NO TANK / TANK ;.. TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION ., SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> albs � �/"`Ay}� 1 �+ PER# PER# PER# PER# <br /> zr I T C] Q EXP-DATE EXP.DATE EXP.DATE EXP.DATE <br /> 'MNK CONTENTS " �s� 11 <br /> OPERATIO AL TANK ' � " ` y '` ' <br /> MAJOR MINOR -.Tr, .° �.c.Hr u � W,� f"a. '.i•=:4 <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 10r _ ow <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 �= <br /> MONITORING RECORDS MAINTAINED 15 116 <br /> ACCESS CASING SECURED 17 18 - <br /> PIPING 19 120 1 <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 34 <br /> SAFETY HAZARD 35 36 .-.. ;�/...-.........-.-. "___...../.-.�__ ._......_.�._____.�._ .._..�_. „..._.._ .._.__ _ <br /> CONDITIONS ABATED 374 WN <br /> TEMPORARY TANK CLOSUREh <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> 43POWER DISCONNECTED - <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE Y°`" ug <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 _ _ _1/_ 2IaO a <br /> SAMPLING 53 -—--`-- - cJ._ <br /> IMPROPER ABANDONMENT 155 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:57 Q- <br /> MAJOR E] MINOR a NO 5 <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INSP:4 f— RECEIVED BY: <br /> TITLE:�G I'OR RE H-S PHONE: BECK: <br />