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UNDERGROUNNK PROGRAM OFFICIAL INSPE N REPORT <br /> 'ON JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: 9A / L D��S � INSPECTION DATE: <br /> SITE ADDRESS: 30 -- STATE/ZIP 94'3-7 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK 1 TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTE�}�� COMPUTEU,0- COMPUTER <br /> TYPE F INSPECTION SITE COMPUTER# NUMBER'/J1Q NUMBER 141",.�p NUMBER NUMBER/009 <br /> j �j PER# CJS PER# /Q 0 PER#�b 6� PER# <br /> X0 t4 1 7✓ EXP.DATE U v EXP.DATE 1 EXP.DATE EXP.DATEO <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 w <br /> SAFETY HAZARD 35 36 <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 mm <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 ._- <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 154 <br /> IMPROPER ABANDONMENT 155 156 <br /> THE MARKE EMS R PRESENT TIONS AND MUS BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS <br /> 57 58 59 <br /> MAJOR VIOL. ❑ VIOLL..R Li VIOL.❑ e4 A <br /> OFFICE: INSP:1_ / E IVED BY: <br /> X "—� — <br /> OTITLE�x PHONE: BECK: <br /> sisa <br /> HUT-3 ORIGINAL <br />