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NDERGROUN NK PROGRAM OFFICIAL INSPE N REPORT <br /> 4WN JOAQUIN HEALTH DISTRICT <br />9PRIFU <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # j <br /> PHONE NO. 468-3423 �� <br /> SITE NAME: le /fn �,(/f��.��� INSPECTION DATES-U4 <br /> SITE ADDRESS: `�� �''" /l T/�J CI e / IP C -.��- <br /> CHANGES SITE/OWNER//PERMIT? YES/ NO TANK� " TANK TANK ANK <br /> FORM A AND/OR B SUBMITTED? COMPUT 3 COMPUT OMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBE J � j NUMBE NUMBER NUMBER <br /> PER# > PER# �S PER# PER# <br /> e- 73 .7 EXP.DAT EXP.DATE 6VOO UAATE EXP.DATE <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 _Lx 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 µ � <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> 4 <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 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 ~� <br /> SAFETY HAZARD 35 36 <br /> ------ <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 _ .._. <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 54 - ..,,- .- --,••._. .�_....._.._._, <br /> IMPROPER ABANDONMENT 55 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: Z <br /> 7 58 59 <br /> MAJOR MINOR NO <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INS P: REC IVED BY: <br /> TITLE: )16Ho : BECK: <br /> HUT-3 ORIGINAL 5/88 0M <br />