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UNDERGROUN ANK PROGRAM OFFICIAL INSP ION REPORT <br /> AN JOAQUIN HEALTH DISTRICT <br /> d' <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # 31 <br /> PHONE NO. 468-3423 <br /> SITE NAME: 9mc- l D I INSPECTION DATE: 7--7- OJ <br /> SITE ADDRESS: 3��"� --7kp<.I �ITY/STATE/ZIP [ �( <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK ►5-- TANK 6 TANK �J _ "TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF SPEC 1 SITE COM-P^U�TEZR# PER# PER# PER# PER# <br /> ( J EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> NJOR MINOR <br /> PERMIT TO OPERATE 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 �_ _ <br /> WRITTEN MONITORING PROCEDURES 7 8 w <br /> APPROVED MONITORING SYSTEM 9 10 A�rnry µ Mp w <br /> MONITORING SYSTEM 11 12 M <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 28 µ <br /> SAMPLING 29 30 <br /> ------------ <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 _ <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 <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 .__. ...M..,...0 <br /> UNAUTHORIZED RELEASE 51 52 — <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST B CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 59 <br /> NO <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: (JW RECE V <br /> TITLE: Z PHON . EC : <br /> HUT-3 ORIGINAL 5/88 0M <br />